{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:48:28Z","timestamp":1783446508728,"version":"3.55.0"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T00:00:00Z","timestamp":1640822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To outline our step\u2010by\u2010step surgical technique using a subcoronal buccal mucosal graft (BMG) resurfacing technique for the treatment of recurrent penile adhesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To perform the \u2018buccal belt\u2019 procedure a subcoronal circumferential segment of diseased skin was excised. An appropriately sized BMG was circumferentially secured subcoronally with a proximal and distal anastomosis to the edges of the wound. Quilting stitches were also placed to allow proper graft fixation. A petroleum jelly bolster was secured as a tie\u2010over dressing. Patients were discharged with a Foley catheter and the bolster dressing in place. The bolster and Foley catheter were removed 7\u2009days postoperatively. The patients were then seen for follow\u2010up at 4\u2010 to 6\u2010month intervals. A retrospective, international multi\u2010institutional review was conducted to include all patients who underwent this procedure. Surgical complications, evidence of recurrence, and patient\u2010reported outcome measures including visual analogue scale (VAS) and global response assessment (GRA) questionnaires were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010one men underwent the procedure across six institutions between March 2014 and September 2020. The mean (range) surgical time was 59 (25\u201395)\u2009min. At the mean (range) follow\u2010up of 27 (4\u201379)\u2009months all patients reported resolution of presenting symptoms and no recurrence of adhesions. The mean VAS score was 8.9 and 9.0 for aesthetics and functional outcomes, respectively. On GRA, overall improvement was reported by all patients (61%, +3; 25%, +2; 14%, +1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There are limited options for the treatment of recurrent penile adhesions. A subcoronal BMG resurfacing is feasible, with no recurrence and overall high satisfaction seen in an initial patient cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15670","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T10:20:51Z","timestamp":1638958851000},"page":"406-408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A buccal mucosal graft subcoronal resurfacing technique to treat recurrent penile adhesions: the buccal belt"],"prefix":"10.1111","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8173-1339","authenticated-orcid":false,"given":"Matthew R.","family":"Beamer","sequence":"first","affiliation":[{"name":"Department of Urology SUNY Upstate Medical University Syracuse NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier C.","family":"Angulo","sequence":"additional","affiliation":[{"name":"Departemento Clinico Hospital Universitario de Getafe Universidad Europea de Madrid Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro","family":"Capiel","sequence":"additional","affiliation":[{"name":"Departamento de Urolog\u00eda Centro de Educaci\u00f3n M\u00e9dica e Investigaciones Cl\u00ednicas \u201cDr. Norberto Quirno\u201d (CEMIC) Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damian","family":"L\u00f3pez\u2010Alvarado","sequence":"additional","affiliation":[{"name":"Lic Adolfo Lopez Mateos Regional Hospital Ciudad de Mexico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick A.","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Centro de Uretra Las Almeda Ciudad de Mexico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paksi","family":"Satyagraha","sequence":"additional","affiliation":[{"name":"Dr Saiful Anwar General Hospital Brawijaya University Malang Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Zaccarini","sequence":"additional","affiliation":[{"name":"Department of Pathology SUNY Upstate Medical University Syracuse NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle A.","family":"Kittleman","sequence":"additional","affiliation":[{"name":"Department of Urology SUNY Upstate Medical University Syracuse NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8716-8740","authenticated-orcid":false,"given":"Dmitriy","family":"Nikolavsky","sequence":"additional","affiliation":[{"name":"Department of Urology SUNY Upstate Medical University Syracuse NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10699.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2010.02165.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1470.2005.22404.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1038108"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2018.01.019"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-015-1202-y"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-020-02437-7"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00154-9"}],"container-title":["BJU 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