{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:21:29Z","timestamp":1761744089725},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T00:00:00Z","timestamp":1432512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report our initial experience with urethra\u2010sparing reconstruction combining dorsal preputial skin and ventral buccal mucosa grafts for tight bulbar urethral strictures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between November 2006 and September 2012, 26 patients with tight bulbar strictures underwent urethroplasty. Using a ventral urethrotomy approach, the two\u2010sided urethral reconstruction was carried out avoiding the transection of urethra and augmenting the preserved urethral plate by dorsal preputial skin plus ventral buccal mucosa grafts. The primary outcome was the objective urinary result, defined as the absence of stricture recurrence. The outcome was considered a failure when any postoperative instrumentation was required. Postoperative sexual dysfunctions were investigated using a validated questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean follow up was 30.1\u00a0months (range 12\u201379\u00a0months). Mean stricture length was 3.3\u00a0cm (range 1.5\u20136\u00a0cm). Mean length for dorsal preputial skin and ventral buccal mucosa grafts was 3.2\u00a0cm (range 2\u20137\u00a0cm) and 4.9\u00a0cm (range 4\u20136\u00a0cm), respectively. Of 26 cases, 23 (88.5%) were successful and three (11.5%) were failures with stricture recurrence. Failures were treated with perineal urethrostomy in one case, ventral buccal graft urethroplasty in one case and internal urethrotomy in one case. Among 12 sexually active men preoperatively, none reported postoperative penile curvature\/shortening, impaired erection or dissatisfaction regarding erection; sexual activity was unaltered pre\u2010 and post\u2010surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In tight bulbar urethra strictures, the two\u2010sided urethroplasty combining dorsal preputial skin and ventral buccal mucosa grafts provides a safe and effective semi\u2010circumferential reconstruction by augmenting the preserved urethral plate, with no impact on sexual function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.12822","type":"journal-article","created":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T20:08:43Z","timestamp":1432584523000},"page":"861-866","source":"Crossref","is-referenced-by-count":7,"title":["Two\u2010sided urethra\u2010sparing reconstruction combining dorsal preputial skin plus ventral buccal mucosa grafts for tight bulbar strictures"],"prefix":"10.1111","volume":"22","author":[{"given":"Enzo","family":"Palminteri","sequence":"first","affiliation":[{"name":"Center for Urethral and Genitalia Reconstructive Surgery Arezzo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Berdondini","sequence":"additional","affiliation":[{"name":"Center for Urethral and Genitalia Reconstructive Surgery Arezzo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Florio","sequence":"additional","affiliation":[{"name":"Department of Urology Tor Vergata University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Cucchiarale","sequence":"additional","affiliation":[{"name":"Department of Urology Clinica Cellini Humanitas Institute Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Milan","sequence":"additional","affiliation":[{"name":"Department of Urology Clinica Cellini Humanitas Institute Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Valentino","sequence":"additional","affiliation":[{"name":"Department of Urology Clinica Cellini Humanitas Institute Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omid","family":"Sedigh","sequence":"additional","affiliation":[{"name":"Department of Urology \u201cLe Molinette\u201d University Torino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni B","family":"Di Pierro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Gynecology and Urology \u2018Sapienza\u2019 University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.052"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66566-2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00154-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01377-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(06)00259-X"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10508.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000057800.61876.9b"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.06.003"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.12.103"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65549-8"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1993.tb15951.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0022-5347(18)32580-1","article-title":"Buccal mucosal onlay urethroplasty versus anastomotic urethroplasty (AU) for short urethral strictures: which is better?","volume":"175","author":"Al\u2010Qudah HS","year":"2006","journal-title":"J. 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