{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:34Z","timestamp":1790927674985,"version":"4.1.0"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"abstract":"<jats:p>Introduction and Objectives: Buccal mucosa graft urethroplasty (BMGU) is the standard therapy for recurrent and complex urethral strictures. Data on outcomes beyond 5 years are scarce. This study analyzes long-term results after BMGU and compares them systematically with published cohorts. Material and Methods: Patients who underwent BMGU between 1996 and 2015 were identified. Exclusion criteria included female sex and prior hypospadias repair. Details of patient selection are reported in the Results section. A systematic review of the literature was conducted in accordance with the PRISMA statement. Results: The response rate was 49% (115\/237). Median age at surgery was 62 years. Patients had a median of 2 prior operations. Most commonly, internal urethrotomy (92%), dilatation (30%), and open reconstruction (11%) were performed. Median stricture length was 4.5 cm. Recurrence rate was 20% after a median follow-up of 7 years. Median time to recurrence was 70 months. In our cohort, longer operation duration and stricture localization, particularly bulbar and combined bulbar+penile strictures, were identified as risk factors for recurrence (p=0.002 and p=0.016, respectively). Across 14 studies (median follow-up 5\u201314.3 years, 7\u2013733 patients), the pooled recurrence rate was 16.2% (362\/2241), with stricture length, localization, prior surgery, lichen sclerosus, radiation, and infection as the most frequently reported risk factors. Conclusion: In our cohort with 20% recurrence rate after 7 years and across 14 long-term series with a pooled recurrence rate of 16.2%, BMGU consistently achieves durable long-term patency and should be preferred over repeated endoscopic procedures for recurrent or complex urethral stricture disease.<\/jats:p>","DOI":"10.1159\/uin\/aewag024","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T11:37:43Z","timestamp":1789817863000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-term outcomes after buccal mucosa graft urethroplasty: a single-center cohort with 7-year median follow-up and systematic review of the literature"],"prefix":"10.1159","author":[{"given":"Juliane","family":"Putz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgi","family":"Tosev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Kluge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christer","family":"Groeben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Leike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Oehlschl\u00e4ger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Herout","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfred P.","family":"Wirth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Baunacke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Huber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,10,1]]},"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/uin\/aewag024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:18:35Z","timestamp":1790925515000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/uin\/aewag024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/uin\/aewag024","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.33403291","asserted-by":"subject"}]},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}