{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:06:54Z","timestamp":1755907614735,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,7]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>A male in his early 50s with a 20-year history of chronic tobacco use, presenting with a long anterior urethral stricture measuring 11 cm. The buccal and lingual mucosae were unsuitable for grafting. The patient underwent Stage I urethroplasty. Substitution urethroplasty was performed after 6 months using a dorsal onlay everted saphenous vein graft (eSVG) harvested from the right saphenous vein. Postoperative follow-up at 1, 3 and 6 months showed significant symptom improvement, with the International Prostate Symptom Score decreasing from 18 preoperatively to 6 at 6 months. Uroflowmetry showed an increase in peak flow rate from 3.6 mL\/s to 18 mL\/s, and the Quality of Life score improved from 3 to 1.5. At 6 months, no recurrence of stricture was noted. This case highlights eSVG as an effective solution for long anterior urethral strictures in patients with chronic tobacco use and poor oral mucosa, providing long-term functional success.<\/jats:p>","DOI":"10.1136\/bcr-2025-267095","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T10:45:21Z","timestamp":1755859521000},"page":"e267095","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Everted saphenous vein graft for long-segment urethral strictures in patients with tobacco-exposed oral mucosa"],"prefix":"10.1136","volume":"18","author":[{"given":"Bhavyadeep","family":"Korrapati","sequence":"first","affiliation":[{"name":"Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Velmurugan","family":"Palaniyandy","sequence":"additional","affiliation":[{"name":"Sri Ramachandra 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