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Patients were assessed at 3- and 12-months postoperatively for urinary and erectile functions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      133 patients were identified and underwent either ventral repair (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200960, group I) or dorsal repair (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200973, group II). There was no significant difference in baseline urinary and sexual function between both groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Overall, the success rate was 91.7% in Group I and 90.4% in Group II (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.801). Transient ED (at 3 months) was detected in 5% and 25% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), while permeant ED (at 12 months) was 1.7% and 13.7% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012) in group I and group II, respectively. Group I had significantly higher mean IIEF scores; 28.2 and 28.4 at 3 months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and 12 months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); compared to Group II; 22.1 and 24.4, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The ventral approach had better erectile functional outcomes compared to the dorsal approach in the management of non-traumatic PBUS in sexually active men. This might be related to less urethral mobilization and no dissection of the intercrural space during ventral onlay graft urethroplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-025-05441-7","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T04:13:36Z","timestamp":1737951216000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Ventral versus dorsal onlay buccal mucosal graft urethroplasty for non-traumatic proximal bulbar urethral strictures in sexually active men: erectile and urinary functions"],"prefix":"10.1007","volume":"43","author":[{"given":"Ayman","family":"Mousa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Eissa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Abdel","family":"Raheem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6873-6493","authenticated-orcid":false,"given":"Ahmed","family":"Zoeir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"issue":"4","key":"5441_CR1","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1590\/S1677-5538.IBJU.2020.99.04","volume":"46","author":"G Barbagli","year":"2020","unstructured":"Barbagli G, Bandini M, Bal\u00f2 S, Sansalone S, Butnaru D, Lazzeri M (2020) Surgical treatment of bulbar urethral strictures: tips and tricks. 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