{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:46:52Z","timestamp":1785228412404,"version":"3.55.0"},"reference-count":30,"publisher":"S. Karger AG","issue":"3-4","license":[{"start":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T00:00:00Z","timestamp":1608163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T00:00:00Z","timestamp":1608163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2021]]},"abstract":"<b><i>Introduction:<\/i><\/b> This study was carried out to identify the predictors of urethral stricture recurrence after dorsal onlay buccal mucosal graft (BMG) urethroplasty. <b><i>Materials and Methods:<\/i><\/b> The medical records of patients with anterior urethral stricture who underwent dorsal onlay BMG urethroplasty at a single tertiary medical center during the period from March 2010 to January 2018 were reviewed. Only patients with \u22652-year follow-up were included. Data regarding patient demographics, clinical characteristics, stricture characteristics, postoperative course, and adverse events were recorded. Kaplan-Meier analysis was used to assess the recurrence-free survival and likelihood of stricture recurrence. Cox regression analysis was used to identify potential independent predictors of stricture recurrence. <b><i>Results:<\/i><\/b> This study included 266 patients with a mean age of 37.71 years and a mean follow-up period of 49.77 months. From the overall study cohort, 34 (12.8%) reported stricture recurrence and 232 (87.2%) were not. The mean recurrence-free time was 79.93 months and mean time to recurrence was 21.59 months. On multivariate analysis, obesity (hazard ratio (HR): 6.02; 95% conference interval (CI): 1.91, 19.03: <i>p<\/i> = 0.002), inflammatory aetiology (HR: 9.13; 95% CI: 3.50, 23.81; <i>p<\/i> &#x3c; 0.001), prior urethroplasty (HR: 8.81; 95% CI: 3.26, 23.86; <i>p<\/i> &#x3c; 0.001), penile stricture location (HR: 3.09; 95% CI: 1.10, 8.71; <i>p<\/i> = 0.033), and stricture length &#x3e;4.5 cm (HR: 6.83; 95% CI: 1.69, 27.62; <i>p<\/i> = 0.007) were the significant independent predictors of stricture recurrence. <b><i>Conclusions:<\/i><\/b> Dorsal onlay BMG urethroplasty has a reasonable recurrence-free rate with acceptable postoperative complications. Obesity, inflammatory etiology, prior urethroplasty, penile stricture location, and longer stricture were the factors associated with urethral stricture recurrence. <\/jats:p>","DOI":"10.1159\/000512065","type":"journal-article","created":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T22:01:47Z","timestamp":1608242507000},"page":"269-277","source":"Crossref","is-referenced-by-count":16,"title":["Factors Predicting Urethral Stricture Recurrence after Dorsal Onlay Augmented, Buccal Mucosal Graft 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