{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T09:16:47Z","timestamp":1778404607450,"version":"3.51.4"},"reference-count":44,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","eu-focus.europeanurology.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Urology Focus"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.euf.2022.03.022","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T07:41:52Z","timestamp":1649835712000},"page":"1736-1750","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Erectile and Ejaculatory Function Following Anterior Urethroplasty: A Systematic Review and Meta-analysis"],"prefix":"10.1016","volume":"8","author":[{"given":"Karl H.","family":"Pang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadir I.","family":"Osman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher R.","family":"Chapple","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Eardley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.euf.2022.03.022_b0005","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.sxmr.2017.09.002","article-title":"Sexual dysfunction in urethral reconstruction: a review of the literature","volume":"6","author":"Benson","year":"2018","journal-title":"Sex Med Rev"},{"key":"10.1016\/j.euf.2022.03.022_b0010","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s11934-021-01039-9","article-title":"Erectile and ejaculatory dysfunction after urethroplasty","volume":"22","author":"Heinsimer","year":"2021","journal-title":"Curr Urol Rep"},{"key":"10.1016\/j.euf.2022.03.022_b0015","first-page":"371","article-title":"Anterior urethroplasty and effects on sexual life: which is the best technique?","volume":"62","author":"Palminteri","year":"2010","journal-title":"Minerva Urol Nefrol"},{"key":"10.1016\/j.euf.2022.03.022_b0020","doi-asserted-by":"crossref","first-page":"g7647","DOI":"10.1136\/bmj.g7647","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation","volume":"350","author":"Shamseer","year":"2015","journal-title":"BMJ"},{"key":"10.1016\/j.euf.2022.03.022_b0025","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0030","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1038\/sj.ijir.3900472","article-title":"Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction","volume":"11","author":"Rosen","year":"1999","journal-title":"Int J Impot Res"},{"key":"10.1016\/j.euf.2022.03.022_b0035","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.urology.2004.04.056","article-title":"Male Sexual Health Questionnaire (MSHQ): scale development and psychometric validation","volume":"64","author":"Rosen","year":"2004","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0040","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1016\/j.urology.2007.02.036","article-title":"Development and validation of four-item version of Male Sexual Health Questionnaire to assess ejaculatory dysfunction","volume":"69","author":"Rosen","year":"2007","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0045","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S0090-4295(99)80304-5","article-title":"A brief male sexual function inventory for urology","volume":"46","author":"O\u2019Leary","year":"1995","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0050","doi-asserted-by":"crossref","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"10.1016\/j.euf.2022.03.022_b0055","doi-asserted-by":"crossref","first-page":"i4919","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions","volume":"355","author":"Sterne","year":"2016","journal-title":"BMJ"},{"key":"10.1016\/j.euf.2022.03.022_b0060","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1016\/j.juro.2007.05.053","article-title":"The effect of bulbar urethroplasty on erectile function","volume":"178","author":"Anger","year":"2007","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0065","doi-asserted-by":"crossref","first-page":"912438","DOI":"10.1155\/2015\/912438","article-title":"Anastomotic repair versus free graft urethroplasty for bulbar strictures: a focus on the impact on sexual function","volume":"2015","author":"Beysens","year":"2015","journal-title":"Adv Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0070","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.juro.2018.09.051","article-title":"Nontransecting techniques reduce sexual dysfunction after anastomotic bulbar urethroplasty: results of a multi-institutional comparative analysis","volume":"201","author":"Chapman","year":"2019","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0075","doi-asserted-by":"crossref","first-page":"7826085","DOI":"10.1155\/2019\/7826085","article-title":"Excision and primary anastomosis for bulbar urethral strictures improves functional outcomes and quality of life: a prospective analysis from a single centre","volume":"2019","author":"D\u2019hulst","year":"2019","journal-title":"Biomed Res Int"},{"key":"10.1016\/j.euf.2022.03.022_b0080","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.urology.2012.10.046","article-title":"Patient-reported outcomes combined with objective data to evaluate outcomes after urethral reconstruction","volume":"81","author":"DeLong","year":"2013","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0085","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.urology.2011.01.019","article-title":"Erectile dysfunction after anterior urethroplasty: a prospective analysis of incidence and probability of recovery\u2014single-center experience","volume":"78","author":"Dogra","year":"2011","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0090","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.urology.2018.12.028","article-title":"Bulbospongiosus muscle sparing urethroplasty versus standard urethroplasty: a comparative Study","volume":"126","author":"Elkady","year":"2019","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0095","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.juro.2010.03.038","article-title":"Prospective analysis of ejaculatory function after anterior urethral reconstruction","volume":"184","author":"Erickson","year":"2010","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0100","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.juro.2009.10.017","article-title":"Prospective analysis of erectile dysfunction after anterior urethroplasty: incidence and recovery of function","volume":"183","author":"Erickson","year":"2010","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0105","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1111\/j.1464-410X.2006.06669.x","article-title":"Erectile function, sexual drive, and ejaculatory function after reconstructive surgery for anterior urethral stricture disease","volume":"99","author":"Erickson","year":"2007","journal-title":"BJU Int"},{"key":"10.1016\/j.euf.2022.03.022_b0110","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1016\/j.juro.2016.09.083","article-title":"Functional effects of bulbospongiosus muscle sparing on ejaculatory function and post-void dribbling after bulbar urethroplasty","volume":"197","author":"Fredrick","year":"2017","journal-title":"J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0115","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1007\/s00345-016-1926-z","article-title":"The effect of urethral transection on erectile function after anterior urethroplasty","volume":"35","author":"Haines","year":"2017","journal-title":"World J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0120","first-page":"116","article-title":"The impact of post-urethroplasty erectile dysfunction on the quality of life and treatment satisfaction","volume":"74","author":"Ka\u0142u\u017cny","year":"2021","journal-title":"Cent Eur J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0125","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s00345-015-1610-8","article-title":"Psychometric validation of a German language version of a PROM for urethral stricture surgery and preliminary testing of supplementary ED and UI constructs","volume":"34","author":"Kluth","year":"2016","journal-title":"World J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0130","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1002\/nau.23243","article-title":"Turkish validation of the urethral stricture surgery specific patient-reported outcome measure (USS-PROM) with supplemental assessment of erectile function and morbidity due to oral graft harvesting","volume":"36","author":"\u00d6nol","year":"2017","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.euf.2022.03.022_b0135","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.urology.2012.11.059","article-title":"The impact of ventral oral graft bulbar urethroplasty on sexual life","volume":"81","author":"Palminteri","year":"2013","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0140","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.urology.2015.04.055","article-title":"Patient-reported sexual function after staged penile urethroplasty","volume":"86","author":"Patel","year":"2015","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0145","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1590\/s1677-5538.ibju.2016.0599","article-title":"Is circumferential urethral mobilisation an overdo? A prospective outcome analysis of dorsal onlay and dorso-lateral onlay BMGU for anterior urethral strictures","volume":"44","author":"Prakash","year":"2018","journal-title":"Int Braz J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0150","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/j.eururo.2005.05.003","article-title":"Dorsal onlay graft urethroplasty using penile skin or buccal mucosa for repair of bulbar urethral stricture: results of a prospective single center study","volume":"48","author":"Raber","year":"2005","journal-title":"Eur Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0155","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1159\/000330268","article-title":"A study on sexual function of men with anterior urethral stricture before and after treatment","volume":"87","author":"Sharma","year":"2011","journal-title":"Urol Int"},{"key":"10.1016\/j.euf.2022.03.022_b0160","doi-asserted-by":"crossref","first-page":"188","DOI":"10.4103\/0970-1591.65384","article-title":"Impact on sexual function after reconstructive surgery for anterior urethral stricture disease","volume":"26","author":"Singh","year":"2010","journal-title":"Indian J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0165","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.urology.2017.08.029","article-title":"Clinical and patient-reported outcomes of 1-sided anterior urethroplasty for long-segment or panurethral strictures","volume":"111","author":"Spencer","year":"2018","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0170","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1590\/s1677-5538.ibju.2018.0276","article-title":"The effect of urethroplasty surgery on erectile and orgasmic functions: a prospective study","volume":"45","author":"Urkmez","year":"2019","journal-title":"Int Braz J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0175","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1038\/aja.2008.1","article-title":"Evaluation of erectile function after urethral reconstruction: a prospective study","volume":"11","author":"Xie","year":"2009","journal-title":"Asian J Androl"},{"key":"10.1016\/j.euf.2022.03.022_b0180","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1111\/bju.15131","article-title":"Patient-reported outcomes after buccal mucosal graft urethroplasty for bulbar urethral strictures: results of a prospective single-centre cohort study","volume":"126","author":"D\u2019hulst","year":"2020","journal-title":"BJU Int"},{"key":"10.1016\/j.euf.2022.03.022_b0185","doi-asserted-by":"crossref","first-page":"3063","DOI":"10.1007\/s00345-020-03539-8","article-title":"Single-surgeon experience of excision and primary anastomosis for bulbar urethral stricture: analysis of surgical and patient-reported outcomes","volume":"39","author":"Horiguchi","year":"2021","journal-title":"World J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0190","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.urology.2021.04.016","article-title":"Association between ejaculatory dysfunction and post-void dribbling after urethroplasty","volume":"153","author":"Theisen","year":"2021","journal-title":"Urology"},{"key":"10.1016\/j.euf.2022.03.022_b0195","doi-asserted-by":"crossref","first-page":"3549","DOI":"10.1007\/s00345-021-03613-9","article-title":"Dorsolateral inner preputial graft urethroplasty for anterior urethral strictures: long-term outcomes from a single tertiary care centre","volume":"39","author":"Tyagi","year":"2021","journal-title":"World J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0200","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1080\/21681805.2020.1734077","article-title":"One-year follow-up after urethroplasty, with the focus on both lower urinary tract and erectile function","volume":"54","author":"M\u00edka","year":"2020","journal-title":"Scand J Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0205","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1016\/j.eururo.2011.07.053","article-title":"Minimal clinically important differences in the erectile function domain of the International Index of Erectile Function scale","volume":"60","author":"Rosen","year":"2011","journal-title":"Eur Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0210","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.eururo.2008.03.018","article-title":"Muscle- and nerve-sparing bulbar urethroplasty: a new technique","volume":"54","author":"Barbagli","year":"2008","journal-title":"Eur Urol"},{"key":"10.1016\/j.euf.2022.03.022_b0215","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/j.1464-410X.2010.09800.x","article-title":"Urethral strictures","volume":"107","author":"Mundy","year":"2011","journal-title":"BJU Int"},{"key":"10.1016\/j.euf.2022.03.022_b0220","series-title":"EAU guidelines on urethral strictures","author":"Lumen","year":"2021"}],"container-title":["European Urology Focus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405456922000761?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405456922000761?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T06:54:36Z","timestamp":1762498476000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405456922000761"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S2405456922000761"],"URL":"https:\/\/doi.org\/10.1016\/j.euf.2022.03.022","relation":{},"ISSN":["2405-4569"],"issn-type":[{"value":"2405-4569","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Erectile and Ejaculatory Function Following Anterior Urethroplasty: A Systematic Review and Meta-analysis","name":"articletitle","label":"Article Title"},{"value":"European Urology Focus","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.euf.2022.03.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 European Association of Urology. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}