{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:23:08Z","timestamp":1792610588692,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"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":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether single\u2010stage preputial spiral graft urethroplasty (PSGU) minimises panurethral stricture (PUS) recurrence, which often result from traditional multiple grafting for anterior urethral strictures exceeding 10\u2009cm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      We prospectively collected 114 patients with PUS treated with single\u2010stage PSGU across five centres in India, Colombia, Egypt, and Italy since May 2021. Preoperative assessment included physical examination, medical history, uroflowmetry, International Prostate Symptom Score (IPSS), five\u2010item International Index of Erectile Function (IIEF\u20105), and urethrography. Intraoperative urethroscopy assessed stricture length and severity. Follow\u2010up included uroflowmetry and patient\u2010reported outcomes. Treatment success was defined as a maximum urinary flow rate (Q\n                      <jats:sub>max<\/jats:sub>\n                      ) &gt;10\u2009mL\/s without symptoms. Outcomes were compared between teaching and fellows\u2019 institutions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median stricture length was 16\u2009cm, with instrumentation as the most frequent aetiology (64.0%). The median (interquartile range [IQR]) operative time was 134\u2009(123\u2013142)\u2009min. Postoperative complications rate was 23.0%, mostly Clavien\u2013Dindo Grade I. At a median (IQR) follow\u2010up of 16\u2009(7\u201324)\u2009months, the median Q\n                      <jats:sub>max<\/jats:sub>\n                      significantly increased from 4.5 preoperatively to 24\u2009mL\/s postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), while the median IPSS decreased by 24.3\u2009points (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and the median IIEF\u20105 score remained stable. Stricture recurrence occurred in 11 (9.6%) patients. No significant differences in patency\/complications were found between teaching and fellows\u2019 institutions. Key PSGU limitations are intact prepuce and absence of active lichen sclerosus.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A single\u2010stage PSGU effectively manages PUS, showing comparable outcomes across institutions with varying experience levels. This technique is ready for broader adoption in clinical practice, pending further studies to confirm its long\u2010term efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16796","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T05:11:51Z","timestamp":1748063511000},"page":"640-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Establishing the role of single\u2010stage preputial spiral graft urethroplasty for panurethral stricture"],"prefix":"10.1111","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1462-1698","authenticated-orcid":false,"given":"Marco","family":"Bandini","sequence":"first","affiliation":[{"name":"Division of Experimental Oncology\/Unit of Urology Urological Research Institute (URI), IRCCS Ospedale San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Urology Kulkarni Reconstructive Urology Center  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Bafna","sequence":"additional","affiliation":[{"name":"Department of Genitourinary Surgery Apollo Main Hospital  Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Yepes","sequence":"additional","affiliation":[{"name":"Center for Genital Reconstructive Surgery  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Alrefaey","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2613-2306","authenticated-orcid":false,"given":"Mattia","family":"Longoni","sequence":"additional","affiliation":[{"name":"Division of Experimental Oncology\/Unit of Urology Urological Research Institute (URI), IRCCS Ospedale San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7267-4181","authenticated-orcid":false,"given":"Francesco","family":"Montorsi","sequence":"additional","affiliation":[{"name":"Division of Experimental Oncology\/Unit of Urology Urological Research Institute (URI), IRCCS Ospedale San Raffaele  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Urology Kulkarni Reconstructive Urology Center  Pune 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