{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:19:17Z","timestamp":1780593557480,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To characterise the long\u2010term success rate of ventral onlay buccal mucosa graft urethroplasty (vBMG) in the management of bulbar urethral stricture disease (USD), assess patient\u2010reported postoperative satisfaction and decision regret, and delineate clinical factors impacting patient\u2010reported metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>Patients with prior vBMG for bulbar USD, performed at Cleveland Clinic between 2003 and 2022, were contacted and brief structured interviews were performed. Stricture recurrence and need for secondary procedures, baseline demographics, and patient\u2010reported outcome surveys were collected. The surveys included the Decision Regret Scale (DRS), the Urethral Stricture Symptom Impact Measure (USSIM) and the 10\u2010item Patient\u2010Reported Outcomes Measurement Information System Short Form, version 1.2 (PROMIS\u201010). Descriptive, univariate and multivariable analyses were performed for clinical outcomes and survey responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 104 patients recorded responses. The median patient age was 49\u2009years and the median follow\u2010up was 7.4\u2009years at time of survey. The median graft length was 5\u2009cm and 38% of patients underwent partial thickness augmented anastomotic urethroplasty. At time of follow\u2010up, 10 patients underwent a secondary procedure. Moderate to severe regret on the DRS was found in 12% of patients, and greater regret was associated with recurrence. The mean physical and mental health PROMIS\u201010 Global Health T\u2010scores were 52 and 53. The mean total USSIM score was 56. A significant correlation was found between USSIM and DRS scores, with higher DRS score and recurrence negatively impacting USSIM score. USSIM scoring across all domains was significantly worse in the moderate to severe DRS group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study showed that vBMG for bulbar USD confers both high success rates and patient\u2010reported satisfaction at extended follow\u2010up, based on emerging and validated patient\u2010reported outcome measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16566","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T04:39:39Z","timestamp":1729485579000},"page":"303-309","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Decision regret and long\u2010term success rates after ventral buccal mucosa graft urethroplasty"],"prefix":"10.1111","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1230-4955","authenticated-orcid":false,"given":"Javier E.","family":"Santiago","sequence":"first","affiliation":[{"name":"Cleveland Clinic Foundation Glickman Urological &amp; Kidney Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9936-7133","authenticated-orcid":false,"given":"Michael D.","family":"Gross","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation Glickman Urological &amp; Kidney Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7147-7848","authenticated-orcid":false,"given":"Jo\u00e3o Pedro","family":"Accioly","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation Glickman Urological &amp; Kidney Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan B.","family":"Voelzke","sequence":"additional","affiliation":[{"name":"Spokane Urology  Spokane Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin N.","family":"Breyer","sequence":"additional","affiliation":[{"name":"Department of Urology University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1848-3149","authenticated-orcid":false,"given":"Roger K.","family":"Khouri","sequence":"additional","affiliation":[{"name":"Smith Institute for Urology at Northwell Health Reconstructive Urology &amp; Men's Health  North New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly E.","family":"DeWitt\u2010Foy","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation Glickman Urological &amp; Kidney Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth W.","family":"Angermeier","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation Glickman Urological &amp; Kidney Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadley M.","family":"Wood","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation Glickman Urological &amp; Kidney Institute  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003482"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000241680"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.12.028"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2021.12.017"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-018-0797-9"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03648-y"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.01.117"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.04.037"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65015-X"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.01.038"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.12.047"},{"key":"e_1_2_6_13_1","first-page":"423","article-title":"Trauma and reconstructive urology working Party of the European Association of urology young academic urologists. 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