{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:20:35Z","timestamp":1780093235257,"version":"3.54.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T00:00:00Z","timestamp":1749340800000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare ventral\u2010 and dorsal\u2010onlay buccal mucosal graft (BMG) urethroplasty in patients with urethral stricture, as the optimal placement of BMG in urethroplasty for bulbar urethral strictures remains debated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search was conducted in PubMed, Scopus, Web of Science, and Cochrane Library. Studies comparing dorsal\u2010 and ventral\u2010onlay BMG urethroplasty were analysed. Pooled effect sizes were calculated using a random\u2010effects model. Subgroup analyses and publication bias assessments were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight studies with 655 patients were included. The success rate showed no significant difference between the dorsal\u2010 and ventral\u2010onlay techniques (relative risk [RR] 1.00, 95% confidence interval [CI] 0.94\u20131.06;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.97,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%). The maximum urinary flow rate at 3\u2009months (mean difference [MD] \u22120.64, 95% CI \u22122.14 to 0.86\u2009mL\/s;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.41) and 12\u2009months (MD \u22120.57, 95% CI \u22122.00 to 0.85\u2009mL\/s;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.43) was comparable. Transient erectile dysfunction (ED) was significantly lower with the ventral technique (RR 0.24, 95% CI 0.08\u20130.67;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.006), while permanent ED rates were similar (RR 0.57, 95% CI 0.03\u201312.20;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.72). Sensitivity analysis confirmed robustness, and no publication bias was detected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dorsal\u2010 and ventral\u2010onlay BMG urethroplasty have similar success rates and urinary flow outcomes. However, ventral onlay may reduce transient ED.<\/jats:p>\n                    <jats:p>International Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD420250654329.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16811","type":"journal-article","created":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T22:59:56Z","timestamp":1749423596000},"page":"385-394","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Dorsal\u2010 vs ventral\u2010onlay buccal mucosal graft urethroplasty for urethral strictures: a meta\u2010analysis"],"prefix":"10.1111","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3393-9105","authenticated-orcid":false,"given":"Atef A.","family":"Hassan","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine Al Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Mohamed","family":"Soliman","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossam Ahmed","family":"Shouman","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Ibrahim","family":"Algammal","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7794-5948","authenticated-orcid":false,"given":"Mohamed Fawzy","family":"Salman","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Abdallah","family":"Hindawy","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Tagreda","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Elsalhy","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Alrefaey","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hesham","family":"Abozied","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Abdelazim","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Agha","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moaz Elsayed","family":"Abouelmagd","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Hamouda","family":"Elkasaby","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Al Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hesham Abdel\u2010Azim","family":"El\u2010Helaly","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine El\u2010Fayoum University  Fayoum Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.09.009"},{"key":"e_1_2_12_3_1","first-page":"209","article-title":"Epidemiology of urethral strictures","volume":"3","author":"Alwaal A","year":"2014","journal-title":"Transl Androl Urol"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/6715257"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.07.087"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-05441-7"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000241680"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2017.30771"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15895"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.01.008"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.05.046"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10625.x"},{"key":"e_1_2_12_13_1","first-page":"48","article-title":"Dorsal versus ventral Oral mucosal graft Urethroplasty","volume":"8","author":"Hosseini J","year":"2011","journal-title":"Urol J"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12859"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-022-04220-y"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-7-10"},{"key":"e_1_2_12_19_1","unstructured":"WellsG SheaB O'ConnellDet\u00a0al.The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses."},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"issue":"1","key":"e_1_2_12_22_1","first-page":"2209","article-title":"Outcomes of dorsal onlay versus ventral onlay buccal mucosal graft urethroplasty in patients of bulbar urethral stricture","volume":"8","author":"Qamar U","year":"2021","journal-title":"Indo Am J Pharm Sci"},{"issue":"11","key":"e_1_2_12_23_1","first-page":"56","article-title":"Comparative analysis of ventral and dorsal buccal mucosa graft augmentation urethroplasty in stricture bulbar urethra","volume":"9","author":"Arya Y","year":"2020","journal-title":"Int J Sci Res"},{"key":"e_1_2_12_24_1","first-page":"447","article-title":"A comparative study of dorsal versus ventral onlay buccal mucosal graft urethroplasty for long segment bulbar urethral stricture","volume":"5","author":"Immadi Chandra S","year":"2023","journal-title":"Int J Acad Med Pharm"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000169422.46721.d7"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.16811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:54:57Z","timestamp":1761724497000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.16811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,8]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/bju.16811"],"URL":"https:\/\/doi.org\/10.1111\/bju.16811","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,8]]},"assertion":[{"value":"2025-06-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}