{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:26:21Z","timestamp":1792585581764,"version":"4.5.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"DOI":"10.1007\/s11255-025-04955-8","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T16:29:24Z","timestamp":1765470564000},"page":"1895-1910","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Penile skin graft versus buccal mucosal graft for anterior urethral strictures in adult urethroplasty- a systematic review and meta-analysis"],"prefix":"10.1007","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6712-7421","authenticated-orcid":false,"given":"Syed Moiz","family":"Abbas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0632-3846","authenticated-orcid":false,"given":"Muhammad","family":"Farhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4675-2822","authenticated-orcid":false,"given":"Areeba","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0152-6875","authenticated-orcid":false,"given":"Safa","family":"Mazhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4222-2317","authenticated-orcid":false,"given":"Rimsha","family":"Imran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0826-519X","authenticated-orcid":false,"given":"Hiba","family":"Zafar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4617-2043","authenticated-orcid":false,"given":"Suheera","family":"Afzoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8632-1222","authenticated-orcid":false,"given":"F. N. U.","family":"Areeba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"issue":"5","key":"4955_CR1","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1016\/j.juro.2007.01.041","volume":"177","author":"RA Santucci","year":"2007","unstructured":"Santucci RA, Joyce GF, Wise M (2007) Male urethral stricture disease. J Urol 177(5):1667\u20131674","journal-title":"J Urol"},{"issue":"6 Pt 1","key":"4955_CR2","doi-asserted-by":"publisher","first-page":"1918","DOI":"10.1016\/S0022-5347(05)66242-8","volume":"165","author":"G Barbagli","year":"2001","unstructured":"Barbagli G, Palminteri E, Lazzeri M, Guazzoni G, Turini D (2001) Long-term outcome of urethroplasty after failed urethrotomy versus primary repair. J Urol 165(6 Pt 1):1918\u20131919","journal-title":"J Urol"},{"issue":"5","key":"4955_CR3","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1016\/S0022-5347(01)65461-2","volume":"156","author":"P Albers","year":"1996","unstructured":"Albers P, Fichtner J, Br\u00fchl P, M\u00fcller SC (1996) Long-term results of internal urethrotomy. J Urol 156(5):1611\u20131614 (PMID: 8863550)","journal-title":"J Urol"},{"issue":"1","key":"4955_CR4","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1111\/j.1464-410X.2010.09800.x","volume":"107","author":"AR Mundy","year":"2011","unstructured":"Mundy AR, Andrich DE (2011) Urethral strictures. BJU Int 107(1):6\u201326","journal-title":"BJU Int"},{"issue":"3","key":"4955_CR5","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1016\/j.eururo.2007.08.019","volume":"53","author":"G Barbagli","year":"2008","unstructured":"Barbagli G, Morgia G, Lazzeri M (2008) Retrospective outcome analysis of one-stage penile skin graft urethroplasty for anterior urethral strictures. Eur Urol 53(3):628\u2013633","journal-title":"Eur Urol"},{"issue":"7","key":"4955_CR6","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1111\/j.1464-410X.2011.10508.x","volume":"109","author":"DE Andrich","year":"2012","unstructured":"Andrich DE, Mundy AR (2012) Non-transecting anastomotic bulbar urethroplasty: a preliminary report. BJU Int 109(7):1090\u20131094","journal-title":"BJU Int"},{"key":"4955_CR7","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1002\/bjs.18002911312","volume":"29","author":"G Humby","year":"1941","unstructured":"Humby G (1941) A one-stage operation for hypospadias. Br J Surg 29:84\u201392","journal-title":"Br J Surg"},{"issue":"2","key":"4955_CR8","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/j.juro.2007.03.094","volume":"178","author":"MR Markiewicz","year":"2007","unstructured":"Markiewicz MR, DeSantis JL, Margarone JE, Pogrel MA, Chuang SK (2007) The oral mucosa graft: a systematic review. J Urol 178(2):387\u2013394","journal-title":"J Urol"},{"issue":"3","key":"4955_CR9","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1046\/j.1464-410X.2003.03064.x","volume":"91","author":"D Dubey","year":"2003","unstructured":"Dubey D, Kumar A, Bansal P, Srivastava A, Kapoor R, Mandhani A et al (2003) Substitution urethroplasty for anterior urethral strictures: a critical appraisal of various techniques. BJU Int 91(3):215\u2013218","journal-title":"BJU Int"},{"issue":"9","key":"4955_CR10","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1111\/j.1464-410X.2003.04860.x","volume":"93","author":"S Bhargava","year":"2004","unstructured":"Bhargava S, Chapple CR (2004) Buccal mucosal urethroplasty: is it the new gold standard? BJU Int 93(9):1191\u20131193. https:\/\/doi.org\/10.1111\/j.1464-410X.2003.04860.x","journal-title":"BJU Int"},{"issue":"4","key":"4955_CR11","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1159\/000341138","volume":"89","author":"N Lumen","year":"2012","unstructured":"Lumen N, Oosterlinck W, Hoebeke P (2012) Urethral reconstruction using buccal mucosa or penile skin grafts: systematic review and meta-analysis. Urol Int 89(4):387\u2013394. https:\/\/doi.org\/10.1159\/000341138","journal-title":"Urol Int"},{"issue":"3","key":"4955_CR12","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1590\/S1677-55382012000300003","volume":"38","author":"G Barbagli","year":"2012","unstructured":"Barbagli G, Sansalone S, Djinovic R, Romano G, Lazzeri M (2012) Current controversies in reconstructive surgery of the anterior urethra: a clinical overview. Int Braz J Urol 38(3):307\u2013316","journal-title":"Int Braz J Urol"},{"issue":"5","key":"4955_CR13","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1016\/j.eururo.2011.02.010","volume":"59","author":"A Mangera","year":"2011","unstructured":"Mangera A, Patterson JM, Chapple CR (2011) A systematic review of graft augmentation urethroplasty techniques for the treatment of anterior urethral strictures. Eur Urol 59(5):797\u2013814","journal-title":"Eur Urol"},{"key":"4955_CR14","doi-asserted-by":"crossref","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. bmj; 372.","DOI":"10.1136\/bmj.n71"},{"issue":"2","key":"4955_CR15","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1080\/02763869.2019.1588072","volume":"38","author":"JH Schiavo","year":"2019","unstructured":"Schiavo JH (2019) PROSPERO: an international register of systematic review protocols. Med Ref Serv Q 38(2):171\u2013180. https:\/\/doi.org\/10.1080\/02763869.2019.1588072","journal-title":"Med Ref Serv Q"},{"key":"4955_CR16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898","volume":"366","author":"JAC Sterne","year":"2019","unstructured":"Sterne JAC, Savovi\u0107 J, Page MJ, Elbers RG, Blencowe NS, Boutron I et al (2019) RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 366:l4898","journal-title":"BMJ"},{"issue":"9","key":"4955_CR17","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1007\/s10654-010-9491-z","volume":"25","author":"A Stang","year":"2010","unstructured":"Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25(9):603\u2013605. https:\/\/doi.org\/10.1007\/s10654-010-9491-z. (Epub 2010 Jul 22 PMID: 20652370)","journal-title":"Eur J Epidemiol"},{"issue":"10","key":"4955_CR18","first-page":"2127","volume":"18","author":"Z Munn","year":"2020","unstructured":"Munn Z, Barker TH, Moola S, Tufanaru C, Stern C, McArthur A, Stephenson M, Aromataris E (2020) Methodological quality of case series studies: an introduction to the JBI critical appraisal tool. JBI Evid Synth 18(10):2127\u20132133","journal-title":"JBI Evid Synth"},{"key":"4955_CR19","unstructured":"Review Manager (RevMan). Version 5.4. The Cochrane Collaboration, 2020. Available at: https:\/\/revman.cochrane.org."},{"issue":"7414","key":"4955_CR20","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1136\/bmj.327.7414.557.PMID:12958120;PMCID:PMC192859","volume":"327","author":"JP Higgins","year":"2003","unstructured":"Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557\u2013560. https:\/\/doi.org\/10.1136\/bmj.327.7414.557.PMID:12958120;PMCID:PMC192859","journal-title":"BMJ"},{"key":"4955_CR21","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.euros.2023.02.010","volume":"50","author":"R Zhang","year":"2023","unstructured":"Zhang R, Lu C, Chen Y, Song L (2023) Factors to consider in augmentation urethroplasty with oral mucosa graft or penile skin flap for anterior urethral stricture: a systematic review and meta-analysis. Eur Urol Open Sci 50:113\u2013122","journal-title":"Eur Urol Open Sci"},{"issue":"2","key":"4955_CR22","doi-asserted-by":"publisher","first-page":"81","DOI":"10.4103\/iju.IJU_298_19","volume":"36","author":"G Sharma","year":"2020","unstructured":"Sharma G, Sharma S, Parmar K (2020) Buccal mucosa or penile skin for substitution urethroplasty: a systematic review and meta-analysis. Indian J Urol 36(2):81\u201388","journal-title":"Indian J Urol"},{"issue":"1","key":"4955_CR23","doi-asserted-by":"publisher","first-page":"29508","DOI":"10.1038\/s41598-025-14191-w","volume":"15","author":"A Alrefaey","year":"2025","unstructured":"Alrefaey A, Anwar MA, Abdelmagid ME, Tagrida IAE, Elatreisy A, Fahim A (2025) Comparative outcomes of penile skin grafts versus buccal mucosal grafts in urethroplasty for the treatment of extensive anterior urethral strictures. Sci Rep 15(1):29508","journal-title":"Sci Rep"},{"issue":"6","key":"4955_CR24","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1016\/j.eururo.2005.05.003","volume":"48","author":"M Raber","year":"2005","unstructured":"Raber M, Naspro R, Scapaticci E, Salonia A, Scattoni V, Mazzoccoli B et al (2005) Dorsal onlay graft urethroplasty using penile skin or buccal mucosa for repair of bulbar urethral stricture: results of a prospective single center study. Eur Urol 48(6):1013\u20131017","journal-title":"Eur Urol"},{"issue":"1","key":"4955_CR25","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.afju.2015.09.002","volume":"22","author":"G Barbagli","year":"2016","unstructured":"Barbagli G, Bal\u00f2 S, Sansalone S, Lazzeri M (2016) One-stage and two-stage penile buccal mucosa urethroplasty. Afr J Urol 22(1):11\u201317","journal-title":"Afr J Urol"},{"issue":"2","key":"4955_CR26","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1007\/s00345-021-03843-x","volume":"40","author":"S Tyagi","year":"2022","unstructured":"Tyagi S, Parmar KM, Singh SK, Sharma A, Shukla M, Sharma AP et al (2022) \u2018Pee\u2019bust trial: a single-centre prospective randomized study comparing functional and anatomic outcomes after augmentation urethroplasty with penile skin graft versus buccal mucosa graft for anterior urethral stricture disease. World J Urol 40(2):475\u2013481","journal-title":"World J Urol"},{"issue":"6","key":"4955_CR27","doi-asserted-by":"publisher","first-page":"2554","DOI":"10.21037\/tau-20-1307","volume":"10","author":"P Calleja Hermosa","year":"2021","unstructured":"Calleja Hermosa P, Campos-Juanatey F, Varea Malo R, Correas G\u00f3mez M\u00c1, Guti\u00e9rrez Ba\u00f1os JL, Urologists T et al (2021) Sexual function after anterior urethroplasty: a systematic review. Trans Androl Urol 10(6):2554\u20132573","journal-title":"Trans Androl Urol"},{"issue":"6","key":"4955_CR28","volume":"17","author":"MU Khan","year":"2025","unstructured":"Khan MU, Dawood M, Malhi MAD, Haider MH, Hussain A, Ali A et al (2025) Investigating the outcomes and complications of urethroplasty using different graft materials in men with complex or recurrent urethral strictures. Cureus 17(6):e86119","journal-title":"Cureus"},{"key":"4955_CR29","doi-asserted-by":"publisher","first-page":"1138707","DOI":"10.3389\/fruro.2023.1138707","volume":"3","author":"J Foreman","year":"2023","unstructured":"Foreman J, Peterson A, Krughoff K (2023) Buccal mucosa for use in urethral reconstruction: evolution of use over the last 30 years. Front Urol 3:1138707","journal-title":"Front Urol"},{"issue":"2","key":"4955_CR30","doi-asserted-by":"publisher","first-page":"68","DOI":"10.4103\/IJRU.IJRU_11_23","volume":"1","author":"AM Elmenair","year":"2023","unstructured":"Elmenair AM, El-Hefnawy AS, Wadie BS (2023) Buccal mucosa graft versus penile skin flap for the management of long segment anterior urethral strictures: success rate and patients\u2019 satisfaction. Int J Reconstr Urol 1(2):68\u201373","journal-title":"Int J Reconstr Urol"},{"issue":"11","key":"4955_CR31","doi-asserted-by":"publisher","first-page":"1831","DOI":"10.1007\/s11255-016-1366-0","volume":"48","author":"MM Hussein","year":"2016","unstructured":"Hussein MM, Almogazy H, Mamdouh A, Farag F, Rashed E, Gamal W et al (2016) Urethroplasty for treatment of long anterior urethral stricture: buccal mucosa graft versus penile skin graft-does the stricture length matter? Int Urol Nephrol 48(11):1831\u20131835","journal-title":"Int Urol Nephrol"},{"issue":"2","key":"4955_CR32","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1016\/S0094-0143(02)00029-0","volume":"29","author":"H Wessells","year":"2002","unstructured":"Wessells H (2002) Ventral onlay graft techniques for urethroplasty. Urol Clin North Am 29(2):381\u2013387","journal-title":"Urol Clin North Am"},{"issue":"6","key":"4955_CR33","doi-asserted-by":"publisher","first-page":"1912","DOI":"10.1016\/S0022-5347(01)66045-2","volume":"155","author":"H Wessells","year":"1996","unstructured":"Wessells H, McAninch JW (1996) Use of free grafts in urethral stricture reconstruction. J Urol 155(6):1912\u20131915","journal-title":"J Urol"},{"issue":"4","key":"4955_CR34","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1016\/S0022-5347(01)62522-9","volume":"160","author":"G Barbagli","year":"1998","unstructured":"Barbagli G, Palminteri E, Rizzo M (1998) Dorsal onlay graft urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures. J Urol 160(4):1307\u20131309","journal-title":"J Urol"},{"issue":"3","key":"4955_CR35","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1016\/j.juro.2014.02.038","volume":"192","author":"G Barbagli","year":"2014","unstructured":"Barbagli G, Kulkarni SB, Fossati N, Larcher A, Sansalone S, Guazzoni G et al (2014) Long-term followup and deterioration rate of anterior substitution urethroplasty. J Urol 192(3):808\u2013813","journal-title":"J Urol"},{"issue":"1","key":"4955_CR36","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1159\/000115397","volume":"2","author":"N Lumen","year":"2008","unstructured":"Lumen N, Browaeys H, Hoebeke P, Oosterlinck W (2008) Ventral onlay graft urethroplasty using genital skin or buccal mucosa in the treatment of bulbar strictures: a retrospective analysis of 41 cases. Curr Urol 2(1):10\u201315","journal-title":"Curr Urol"}],"container-title":["International Urology and Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-025-04955-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11255-025-04955-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-025-04955-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:41:07Z","timestamp":1779370867000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11255-025-04955-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,11]]},"references-count":36,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["4955"],"URL":"https:\/\/doi.org\/10.1007\/s11255-025-04955-8","relation":{},"ISSN":["1573-2584"],"issn-type":[{"value":"1573-2584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,11]]},"assertion":[{"value":"14 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no financial or non-financial interests that are directly or indirectly related to the work submitted for publication and no conflicts of interest related to this meta-analysis. All authors contributed to study design, data extraction, analysis, and manuscript preparation. Ethics approval was not required as this study involved analysis of previously published data.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}