{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:15:55Z","timestamp":1747185355173,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"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":[[2024,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>In narrow anterior urethral strictures, the combined buccal mucosa graft (BMG) with pedicled penile skin flap (PSF) represents a well\u2010known effective alternative to staged urethroplasty. We hypothesized that if the native urethral plate and adjacent corpus spongiosum were preserved, a narrower flap would be needed, and reinforced ventral stability could be achieved without compromising the surgical outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twelve patients with narrow penile urethral strictures underwent single\u2010stage augmentation urethroplasty using a combined technique. A BMG was quilted to the corpora cavernosa in a dorsal onlay approach, and a longitudinal ventral PSF was transposed ventrally and sutured to the scarred native urethral mucosa on one side and to the BMG on the other side to form a neourethra of triangular form. The preserved corpus spongiosum was wrapped and fixed around the flap ventrally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age was 47\u2009years (IQR 35\u201359), and the median stricture length was 5\u2009cm (IQR 3, 8\u20137). The median surgical time was 205\u2009min (IQR 172\u2013236). The overall success rate (SR) was 91.7% without sacculation or diverticula formation after a median follow\u2010up period of 38\u2009months (IQR 33\u201340). Three transient fistulas healed through prolonged urinary diversion. Five patients (41.7%) reported postvoid dribbling following urethroplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preservation of the native urethral plate is a valuable adjunct to the combination of graft and flap for single\u2010stage augmentation urethroplasty for narrow urethral strictures, with satisfactory mid\u2010term success and an acceptable complication rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.15521","type":"journal-article","created":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T00:05:12Z","timestamp":1720224312000},"page":"1095-1101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preservation of the native urethral plate and corpus spongiosum combined with buccal mucosa graft plus Orandi's penile skin flap as an alternative to staged urethroplasty for narrow penile strictures"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7608-7673","authenticated-orcid":false,"given":"Leonidas","family":"Karapanos","sequence":"first","affiliation":[{"name":"Department of Urology, Uro\u2010Oncology, Robot\u2010Assisted and Reconstructive Surgery, Faculty of Medicine University of Cologne, University Hospital Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"Halbe","sequence":"additional","affiliation":[{"name":"Department of Urology, Uro\u2010Oncology, Robot\u2010Assisted and Reconstructive Surgery, Faculty of Medicine University of Cologne, University Hospital Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enno","family":"Storz","sequence":"additional","affiliation":[{"name":"Department of Urology, Uro\u2010Oncology, Robot\u2010Assisted and Reconstructive Surgery, Faculty of Medicine University of Cologne, University Hospital 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