{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:26:44Z","timestamp":1789424804564,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"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":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We report our experience with urethral reconstruction for hypospadias surgery\u2010related urethral stricture in terms of surgical and patient\u2010reported outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010nine adult males who underwent urethral reconstruction for hypospadias surgery\u2010related urethral stricture between August 2008 and January 2022 were retrospectively reviewed. Uroflowmetry and patient\u2010reported outcomes were evaluated at 3, 6, and 12\u2009months, and annually thereafter. Surgical success was defined as the absence of additional procedures. Patients were asked to rate their satisfaction with urethral reconstruction as \u201cvery satisfied\u201d, \u201csatisfied\u201d, \u201cunsatisfied\u201d, or \u201cvery unsatisfied\u201d.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median patient age at referral was 43\u2009years. The median number of previously performed hypospadias surgeries was three, and 18 patients (62.8%) had been treated with repeated transurethral procedures. The median stricture length was 54\u2009mm (interquartile range 36\u201381). Performed urethral reconstruction included staged urethroplasty in 22 (75.9%), one\u2010stage onlay augmentation in 3 (10.2%), and perineal urethrostomy in 4 (13.8%) cases. Urethral reconstruction was successful in 26 patients (89.7%) over a median postoperative period of 31\u2009months. Patient\u2010reported outcomes were assessed in 25 (86.2%) patients. The mean maximum flow rate, international prostate symptom score total score, international prostate symptom score quality of life score, and EuroQol\u20105 dimensions index significantly improved postoperatively. Twenty\u2010three patients (92%) were \u201cvery satisfied\u201d or \u201csatisfied\u201d with the outcome of their urethral reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Urethral reconstruction is a highly successful and patient\u2010satisfying treatment for hypospadias surgery\u2010related urethral stricture in adult patients. Perineal urethrostomy is a reasonable alternative for elderly patients and for patients with complicated hypospadias surgery\u2010related urethral strictures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.15015","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T17:58:51Z","timestamp":1661363931000},"page":"1470-1475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Efficacy of urethral reconstruction for urethral stricture associated with hypospadias surgery in adults"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7678-6375","authenticated-orcid":false,"given":"Akio","family":"Horiguchi","sequence":"first","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama 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