{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T03:44:11Z","timestamp":1769571851182,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,8]],"date-time":"2020-02-08T00:00:00Z","timestamp":1581120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the long\u2010term outcomes of dorsal onlay urethroplasty using lingual mucosal graft for repairing urethral strictures associated with genital lichen sclerosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 36 patients who had lichen sclerosis long anterior urethral strictures that were managed with dorsal onlay urethroplasty using lingual mucosal graft, and were followed up \u22655\u00a0years. Preoperatively, we measured the maximum urinary flow rate and the International Prostate Symptom Score, then every 3\u00a0months in the first year, and annually thereafter. During follow up, patients with obstructive symptoms were subjected to urethrography and\/ or urethroscopy. A successful urethroplasty was defined as normal voiding and no need for further intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 36 patients, two were lost during the follow up, thus 34 patients were involved in the assessment. After lingual mucosal graft urethroplasty, there were significant improvements in maximum urinary flow rate and International Prostate Symptom Score (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). This improvement was sustained during the 5\u2010year follow\u2010up period. The median follow\u2010up period was 66.5\u00a0months (interquartile range 64\u201370\u00a0months). The overall success rate in this study was 88.2%. Postoperative complications that required intervention were reported within the first year in four (11.8%) patients. Oral site complications were mild in the early postoperative period with no long\u2010term complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dorsal onlay urethroplasty using lingual mucosal graft is a reliable and durable procedure for repairing lichen sclerosis urethral stricture. It provides a long\u2010term success rate with few failures occurring within the first year. Lingual mucosal graft harvesting is associated with minor, immediate oral complications, and no long\u2010term morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.14187","type":"journal-article","created":{"date-parts":[[2020,2,9]],"date-time":"2020-02-09T05:06:31Z","timestamp":1581224791000},"page":"320-325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Dorsal onlay urethroplasty using lingual mucosal grafts for lichen sclerosis anterior urethral strictures repair: Long\u2010term outcomes"],"prefix":"10.1111","volume":"27","author":[{"given":"Hussein Abdelhameed","family":"Aldaqadossi","sequence":"first","affiliation":[{"name":"Department of Urology Faculty of Medicine Fayoum University Fayoum Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud","family":"Eladawy","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Fayoum University Fayoum Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossam","family":"Shaker","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Fayoum University Fayoum Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssof","family":"Kotb","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Ain Shams University Ain Shams Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Elgamal","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Tanta University Tanta Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Azazy","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Ain Shams University Ain Shams Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2013.09.027"},{"issue":"18","key":"e_1_2_7_3_1","first-page":"70","article-title":"The efficacy of penile fasciocutaneous flaps in the treatment of urethral strictures caused by BXO","volume":"171","author":"Alsifaki NF","year":"2004","journal-title":"J. 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