{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T20:01:47Z","timestamp":1781640107453,"version":"3.54.5"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006365","name":"Universidad de Cantabria","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006365","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Despite modern advances in urethroplasty, little consensus exists on defining treatment success. The absence of reintervention was the main benchmark. However, recent efforts incorporate anatomical, functional and patient-reported criteria. Our aim is to evaluate urethroplasty outcomes using these four criteria, and to assess the progression of asymptomatic anatomical recurrences to predict the need for future treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An ambispective study was conducted on patients\u2009&gt;\u200918 years undergoing anterior urethroplasty between 2020 and 2023. Minimum follow-up of 2 years. Techniques included anastomotic and augmentation urethroplasties. Follow-up performing urine culture, uroflowmetry, self-administered questionnaires, and endoscopic\/radiological imaging. Success was defined as: anatomical (passage of a 17Ch cystoscope or normal urethrogram), functional (Qmax\u2009&gt;\u200910 mL\/s), asymptomatic (no urinary symptoms or infections), no need for further treatments, and overall success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>138 patients were followed for a mean of 35 months (IQR\u2009=\u200924.4\u201363.8). Success rates were: anatomical 68.8%, functional 71.7%, asymptomatic and retreatment-free 79%, and overall success 63.8%. USS-PROM and quality of life scores improved significantly with high satisfaction levels and maintained IIEF-5 scores. Among the 43 patients with anatomical recurrences, 22 were asymptomatic (51.2%) when re-stricture was identified. After 35 months, 16 out of 22 (72.7%) remained symptom-free. All symptomatic progressions, leading to further interventions, developed during the first 18 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Anatomical and functional criteria result in lower success rates than symptoms-based or retreatment definitions. Most patients with asymptomatic anatomical strictures who do not develop symptoms in the first 18 months remain stable and do not require secondary treatments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-026-06335-y","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T16:36:45Z","timestamp":1773247005000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anatomical, functional, and patient-reported outcomes following anterior urethroplasty. Can we predict when and why are patients with anatomical recurrences requiring reinterventions?"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4062-307X","authenticated-orcid":false,"given":"Maite","family":"Miqueleiz Legaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2231-5199","authenticated-orcid":false,"given":"Felix","family":"Campos-Juanatey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Gorria Cardesa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"6335_CR1","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.euros.2025.11.008","volume":"83","author":"G Mantica","year":"2026","unstructured":"Mantica G, Verla W, Frankiewicz M, Cocci A, Chierigo F, Bia\u0142ek \u0141, Madec FX, Oszczud\u0142owski M, Campos-Juanatey F, Neuville P, Rosenbaum CM, Redmond EJ, Waterloos M, Vetterlein MW (2026) Towardstandardized outcome reporting in urethral reconstruction: development of the stricture-fecta through an international modified delphi consensus. 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