{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T11:02:39Z","timestamp":1771153359723,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the feasibility and outcomes of non\u2010transecting anastomotic urethroplasty (NTAU) with excision and primary anastomosis (EPA) in the management of non\u2010traumatic posterior urethral stenosis (PUS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 30 male patients who underwent anastomotic urethroplasty for non\u2010traumatic PUS between October 2013 and July 2024. EPA was performed in 15, and NTAU in 15. Surgical success was defined as the absence of recurrent stenosis on cystourethroscopy without additional intervention. Patient\u2010reported outcomes, including lower urinary tract symptoms (LUTS), continence status, and quality of life measures, were assessed using validated questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The surgical success rate was 100% for NTAU and 86.7% for EPA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.14). Operative time was significantly shorter in the NTAU group (158 vs. 199\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). The proportion of pad\u2010free patients was significantly higher in the NTAU group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). Among 14 patients with preserved bladder neck function, 8 (80.0%) in the NTAU group achieved pad\u2010free status, whereas none in the EPA group did (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). Both groups showed significant improvements in LUTS\u2010specific quality of life (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03 for NTAU,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0006 for EPA) with no significant differences between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.78). Changes in Sexual Health Inventory for Men (SHIM) scores were comparable between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.41).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NTAU demonstrated comparable surgical success rates to EPA with shorter operative times and better continence outcomes, particularly in patients with preserved bladder neck function. These preliminary results suggest that NTAU is a feasible alternative to EPA for non\u2010traumatic PUS, though longer follow\u2010up and larger studies are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70073","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T06:05:46Z","timestamp":1744697146000},"page":"953-960","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Non\u2010Transecting Anastomotic Urethroplasty Versus Excision and Primary Anastomosis for Non\u2010Traumatic Posterior Urethral Stenosis: A Preliminary Feasibility Study"],"prefix":"10.1111","volume":"32","author":[{"given":"Sadayoshi","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7678-6375","authenticated-orcid":false,"given":"Akio","family":"Horiguchi","sequence":"additional","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama Japan"},{"name":"Division of Reconstruction, Center for Trauma, Burn and Tactical Medicine National Defense Medical College Hospital  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Minami","sequence":"additional","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Takekawa","sequence":"additional","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama 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