{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T22:00:31Z","timestamp":1777759231126,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,10,26]],"date-time":"2022-10-26T00:00:00Z","timestamp":1666742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the surgical and functional outcomes of urethral reconstruction associated with phalloplasty, depending on the surgical techniques and patient history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a single\u2010centre retrospective study including 89 patients who underwent phalloplasty with urethral reconstruction between 2007 and 2018. Patients included were trans\u2010male patients undergoing gender\u2010affirming surgery and cis\u2010male patients undergoing penile reconstruction after trauma, congenital malformation, or cancer. Urethral reconstructions were performed by free flap or skin graft (total or thin). Secondary urethroplasty may include direct vision urethrotomy, excision\u2010anastomosis, or augmentation urethroplasty (skin graft, buccal mucosa graft). Patient demographics, medical history, peri\u2010 and postoperative data were collected from patient files. Functional results were evaluated using individual questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean (\u00b1\n                      <jats:sc>sd<\/jats:sc>\n                      ) follow\u2010up duration was 5.5 (\u00b13.7) years. No significant difference was found for total urethral complication rate (fistula and\/or stricture) according to type of urethral construction (70.9% for free flap urethra vs 73.5% for skin graft urethra;\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.911), nor according to the patient's grounds for surgery (72.7% for cis\u2010male vs 71.8% for trans\u2010male patients;\n                      <jats:italic>P<\/jats:italic>\n                      =\u20091). A total of 36 patients (40.5%) answered the functional questionnaire, of whom 80.5% reported usually voiding while standing and 47.5% were comfortable with urinating in public.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Urethral construction in phalloplasty is associated with a high complication and revision rate regardless of the type of urethral reconstruction. Voiding in a standing position is generally possible but should not conceal feeble functional results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15915","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T02:58:37Z","timestamp":1665543517000},"page":"357-366","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Determining the outcomes of urethral construction in phalloplasty"],"prefix":"10.1111","volume":"131","author":[{"given":"L\u00e9na","family":"Paganelli","sequence":"first","affiliation":[{"name":"Department of Urology, Hospices Civils de Lyon H\u00f4pital Lyon Sud  Pierre\u2010B\u00e9nite Cedex France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Morel\u2010Journel","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospices Civils de Lyon H\u00f4pital Lyon Sud  Pierre\u2010B\u00e9nite Cedex 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