{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:06:49Z","timestamp":1789531609285,"version":"build-2803163510"},"reference-count":21,"publisher":"Akademiai Kiado Zrt.","issue":"37","license":[{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,9,13]]},"abstract":"<jats:p>A h\u00fagycs\u0151ny\u00edl\u00e1st \u00e9s a fossa navicularist \u00e9rint\u0151 h\u00fagycs\u0151sz\u0171k\u00fcletek kezel\u00e9se nagy\n                    kih\u00edv\u00e1s, mivel a h\u00fagycs\u0151p\u00f3tl\u00f3 m\u0171t\u00e9tek ut\u00e1n eszt\u00e9tikailag el\u0151nytelen hegek vagy\n                    sipolyok j\u00f6hetnek l\u00e9tre. Ezek kik\u00fcsz\u00f6b\u00f6l\u00e9s\u00e9re dolgozta ki Nikolavsky \u00e9s\n                    munkacsoportja a sz\u00e1jny\u00e1lkah\u00e1rty\u00e1val v\u00e9gzett transurethralis h\u00fagycs\u0151p\u00f3tl\u00e1st.\n                    Esetbemutat\u00e1sunkban az els\u0151, Magyarorsz\u00e1gon v\u00e9gzett ilyen m\u0171t\u00e9t\u00fcnk eredm\u00e9nyeit\n                    mutatjuk be. Az 57 \u00e9ves f\u00e9rfi lichen sclerosus okozta meatussz\u0171k\u00fclete helyi\n                    szteroidkezel\u00e9s \u00e9s t\u00f6bbsz\u00f6ri h\u00fagycs\u0151t\u00e1g\u00edt\u00e1s ut\u00e1n ki\u00fajult. A retrogr\u00e1d\n                    uretrogr\u00e1fia a meatust\u00f3l kezd\u0151d\u0151 2 cm hossz\u00fa, a fossa navicularist is \u00e9rint\u0151\n                    h\u00fagycs\u0151sz\u0171k\u00fcletet igazolt, amely miatt Nikolavsky-f\u00e9le transurethralis\n                    h\u00fagycs\u0151p\u00f3tl\u00e1st v\u00e9gezt\u00fcnk. A h\u00fagycs\u0151 ventralis oldal\u00e1n l\u00e9v\u0151 hegsz\u00f6vetet\n                    transurethralisan kimetszett\u00fck, majd hely\u00e9re a pofa ter\u00fclet\u00e9r\u0151l kinyert\n                    sz\u00e1jny\u00e1lkah\u00e1rtyagraftot helyezt\u00fcnk. A graftot a h\u00fagycs\u0151ny\u00edl\u00e1son kereszt\u00fcl\n                    helyezt\u00fck be, \u00e9s felsz\u00edv\u00f3d\u00f3 fon\u00e1llal r\u00f6gz\u00edtett\u00fck. A m\u0171t\u00e9ti id\u0151 105 perc, az\n                    \u00e1pol\u00e1si id\u0151 2 nap volt. A m\u0171t\u00e9t alatt \u00e9s ut\u00e1n sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk. A\n                    m\u0171t\u00e9t ut\u00e1n 2 h\u00f3nappal, f\u00e9l \u00e9vvel \u00e9s 1 \u00e9vvel v\u00e9gzett uroflowmetri\u00e1s vizsg\u00e1lat\n                    sor\u00e1n a maxim\u00e1lis vizelet\u00e1raml\u00e1s 22, 39 \u00e9s 29 ml\/s volt, a h\u00f3lyagban rezidu\u00e1lis\n                    vizelet egyik alkalommal sem maradt. A beteg mindh\u00e1rom alkalommal kit\u00f6lt\u00f6tte a\n                    nemzetk\u00f6zi prosztatat\u00fcnet-\u00e9rt\u00e9kel\u0151 k\u00e9rd\u0151\u00edvet, ennek sor\u00e1n 5, 2 \u00e9s 3 pontsz\u00e1mot\n                    adott meg, a k\u00e9rd\u0151\u00edv \u00e9letmin\u0151s\u00e9g-k\u00e9rd\u00e9s\u00e9re 1, 0 \u00e9s 0 pontsz\u00e1mot adott. A\n                    Nikolavsky-f\u00e9le transurethralis h\u00fagycs\u0151p\u00f3tl\u00e1s kev\u00e9s sz\u00f6v\u0151dm\u00e9ny \u00e9s kedvez\u0151\n                    eszt\u00e9tikai eredm\u00e9nyek mellett lehet\u0151v\u00e9 teszi a meatus \u00e9s a fossa navicularis\n                    sz\u0171k\u00fcleteinek kurat\u00edv kezel\u00e9s\u00e9t. Els\u0151 eset\u00fcnk kedvez\u0151 eredm\u00e9nye alapj\u00e1n a\n                    h\u00fagycs\u0151plasztikai m\u0171t\u00e9ti reperto\u00e1runk \u00e9rt\u00e9kes r\u00e9sz\u00e9t k\u00e9pezheti a j\u00f6v\u0151ben. Orv\n                    Hetil. 2026; 167(37): 1483\u20131487.<\/jats:p>","DOI":"10.1556\/650.2026.33632","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T03:24:08Z","timestamp":1789529048000},"page":"1483-1487","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Nikolavsky-f\u00e9le transurethralis h\u00fagycs\u0151p\u00f3tl\u00e1s sz\u00e1jny\u00e1lkah\u00e1rty\u00e1val"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1547-3028","authenticated-orcid":true,"given":"Mih\u00e1ly","family":"Mur\u00e1nyi","sequence":"first","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsanett","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Flask\u00f3","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Kiss","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Pansadoro V, Emiliozzi P. 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Buccal mucosal graft urethroplasty for\n                    penile stricture: only dorsal or combined dorsal and ventral graft placement?\n                    Urology 2011; 77: 1482-1486.\n                        https:\/\/doi.org\/10.1016\/j.urology.2010.12.058","DOI":"10.1016\/j.urology.2010.12.058"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Gelman J, Sohn W. 1-stage repair of obliterative distal urethral\n                    strictures with buccal graft urethral plate reconstruction and simultaneous\n                    onlay penile skin flap. J Urol. 2011; 186: 935-938.\n                        https:\/\/doi.org\/10.1016\/j.juro.2011.04.056","DOI":"10.1016\/j.juro.2011.04.056"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Daneshvar M, Simhan J, Blakely S, et al. Transurethral ventral\n                    buccal mucosa graft inlay for treatment of distal urethral strictures:\n                    international multi-institutional experience. World J Urol. 2020; 38: 2601-2607.\n                        https:\/\/doi.org\/10.1007\/s00345-019-03061-6","DOI":"10.1007\/s00345-019-03061-6"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Virasoro R, Eltahawy EA, Jordan GH. Long-term follow-up for\n                    reconstruction of strictures of the fossa navicularis with a single technique.\n                    BJU Int. 2007; 100: 1143-1145.\n                        https:\/\/doi.org\/10.1111\/j.1464-410X.2007.07078.x","DOI":"10.1111\/j.1464-410X.2007.07078.x"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Nikolavsky D, Abouelleil M, Daneshvar M. Transurethral ventral\n                    buccal mucosa graft inlay urethroplasty for reconstruction of fossa navicularis\n                    and distal urethral strictures: surgical technique and preliminary results. Int\n                    Urol Nephrol. 2016; 48: 1823-1829.\n                        https:\/\/doi.org\/10.1007\/s11255-016-1381-1","DOI":"10.1007\/s11255-016-1381-1"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Sterling J, Daneshvar M, Nikolavsky D. Transurethral ventral inlay\n                    buccal mucosa graft urethroplasty: technique and intermediate outcomes. BJU Int.\n                    2023; 132: 109-111.\n                    https:\/\/doi.org\/10.1111\/bju.16007","DOI":"10.1111\/bju.16007"},{"key":"R9","unstructured":"Babu P, Nayak A, Javali TD, et al. Evaluation of Jordan\u2019s\n                    meatoplasty for the treatment of fossa navicularis strictures. A retrospective\n                    study. Cent European J Urol. 2017; 70: 103-106."},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Madden-Fuentes RJ, Belsante MJ, Granieri MA, et al. Contemporary\n                    analysis of management of isolated pendulous urethral strictures using pedicled\n                    skin flap urethroplasty repair. World J Urol. 2019; 37: 2769-2774.\n                        https:\/\/doi.org\/10.1007\/s00345-019-02699-6","DOI":"10.1007\/s00345-019-02699-6"},{"key":"R11","unstructured":"Tijani KH, Ojewola RW, Odusanya B, et al. Dorsal island penile\n                    fasciocutaneous flap for fossa navicularis and meatal strictures: short and\n                    intermediate term outcome in West African Men. Urol J. 2015; 12:\n                    2267-2270."},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Zumstein V, Dahlem R, Maurer V, et al. Single-stage buccal mucosal\n                    graft urethroplasty for meatal stenoses and fossa navicularis strictures: a\n                    monocentric outcome analysis and literature review on alternative treatment\n                    options. World J Urol. 2020; 38: 2609-2620.\n                        https:\/\/doi.org\/10.1007\/s00345-019-03035-8","DOI":"10.1007\/s00345-019-03035-8"},{"key":"R13","unstructured":"Belsante MJ, Selph JP, Peterson AC. The contemporary management of\n                    urethral strictures in men resulting from lichen sclerosus. Transl Androl Urol.\n                    2015; 4: 22-28."},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Barbagli G, Palminteri E. Surgical reconstruction of penile urethral\n                    strictures: Single-stage procedures. In: Martins FE, Kulkarni SB, K\u00f6hler TS.\n                    (eds.) Textbook of male genitourethral reconstruction. Springer Nature\n                    Switzerland AG, Cham, 2019; pp. 119-127.\n                        https:\/\/doi.org\/10.1007\/978-3-030-21447-0_10","DOI":"10.1007\/978-3-030-21447-0_10"},{"key":"R15","unstructured":"Lumen N, Campos-Juanatey F, Dimitropoulos K, et al. 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