{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T09:47:18Z","timestamp":1782294438576,"version":"3.54.5"},"reference-count":37,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"abstract":"<jats:p>ABSTRACT  Purpose: To determine risk factors for re-stricture after buccal mucosal graft urethroplasty (BMGU) through a systematic review and meta-analysis.  Methods: Following PRISMA guidelines, we collected data from PubMed, Scientific Electronic Library Online (SciELO), and Web of Science databases. The eligibility criteria included studies with male patients over 18 years old with urethral stricture recurrence after BMGU.  Results: We retrieved 646 papers from three electronic databases. Records that did not meet the eligibility criteria and duplicates were excluded, resulting in 14 papers (3,240 patients) that underwent qualitative analysis, from which nine papers were suitable for meta-analysis. The meta-analysis identified diabetes mellitus (relative risk \u2013 RR: 1.58 [95% confidence interval \u2013 95%CI 1.02\u20132.46];p = 0.04), penile\/peno-bulbar site (RR: 1.57 [95%CI 1.04\u20132.37]; p = 0.03), and stricture size higher than 7 cm (RR: 4.13 [95%CI 2.42\u20137.04]; p 0.00001) as a predictive factor of re-stricture.  Conclusions: These findings may improve understanding the risk factors for this type of urethroplasty and help surgical decisions. For a more effective analysis, larger and better-distributed study groups and cohorts are needed in the future to clarify whether the combination of a previous disease and the urethroplasty etiology may impact a recurrence-free outcome after stricture correction.<\/jats:p>","DOI":"10.1590\/acb403525","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T07:33:31Z","timestamp":1743579211000},"source":"Crossref","is-referenced-by-count":4,"title":["Re-stricture after buccal mucosal graft urethroplasty: a systematic review and meta-analysis"],"prefix":"10.1590","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2685-0195","authenticated-orcid":false,"given":"Gustavo Bono","family":"Yoshikawa","sequence":"first","affiliation":[{"name":"Instituto de Pesquisa Pel\u00e9 Pequeno Pr\u00edncipe,  Brazil; Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0718-8208","authenticated-orcid":false,"given":"Gabriella Giandotti","family":"Gomar","sequence":"additional","affiliation":[{"name":"Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5585-479X","authenticated-orcid":false,"given":"Giovanna Ceccatto","family":"Gadens","sequence":"additional","affiliation":[{"name":"Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2552-9500","authenticated-orcid":false,"given":"Beatriz Fran\u00e7a Zanetti","family":"Saes","sequence":"additional","affiliation":[{"name":"Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0032-9976","authenticated-orcid":false,"given":"Maria Eduarda Andrade","family":"Galiciolli","sequence":"additional","affiliation":[{"name":"Instituto de Pesquisa Pel\u00e9 Pequeno Pr\u00edncipe,  Brazil; Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-7125","authenticated-orcid":false,"given":"Meire Ellen","family":"Pereira","sequence":"additional","affiliation":[{"name":"Instituto de Pesquisa Pel\u00e9 Pequeno Pr\u00edncipe,  Brazil; Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2861-2386","authenticated-orcid":false,"given":"Quelen Iane","family":"Garlet","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2004-5316","authenticated-orcid":false,"given":"Cl\u00e1udia Sirlene","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Instituto de Pesquisa Pel\u00e9 Pequeno Pr\u00edncipe,  Brazil; Faculdades Pequeno Pr\u00edncipe,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Campbell-Walsh Urology","author":"Wein AJ","year":"2011"},{"issue":"5","key":"ref2","first-page":"485","article-title":"Revisi\u00f3n de las complicaciones de la estenosis uretral masculina [Male urethral stenosis: review of complications]","volume":"57","author":"Romero P\u00e9rez P","year":"2004","journal-title":"Arch Esp Urol"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.juro.2016.07.087","article-title":"Male urethral stricture: American Urological Association guideline","volume":"197","author":"Wessells H","year":"2017","journal-title":"J 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Comparison of surgical treatments for acquired or iatrogenic urethral stenosis and predictive values for failure of each surgical method","volume":"63","author":"G\u00fcler Y","year":"2021","journal-title":"Folia Med"},{"issue":"3","key":"ref29","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/bju.15895","article-title":"Optimizing decision-making after ventral onlay buccal mucosa graft urethroplasty failure","volume":"131","author":"Bandini M","year":"2023","journal-title":"BJU Int"},{"issue":"2","key":"ref30","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1177\/03915603221148532","article-title":"Outcomes and predictive factors for re-stricture with urethroplasty methods for anterior urethra stricture","volume":"90","author":"G\u00fcler Y","year":"2023","journal-title":"Urologia"},{"issue":"4","key":"ref31","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1159\/000523958","article-title":"Onlay pedicled transverse skin flap versus one-stage inlay buccal mucosal graft in penile urethroplasty: A prospective matched-pair analysis","volume":"107","author":"Sayedahmed K","year":"2023","journal-title":"Urol Int"},{"issue":"2","key":"ref32","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.ajur.2016.05.006","article-title":"History and evolution of the use of oral mucosa for urethral reconstruction","volume":"4","author":"Barbagli G","year":"2017","journal-title":"Asian J Urol"},{"issue":"9520","key":"ref33","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1016\/S0140-6736(06)68592-9","article-title":"Management of urethral strictures","volume":"367","author":"Waxman SW","year":"2006","journal-title":"Lancet"},{"issue":"2","key":"ref34","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.juro.2009.10.018","article-title":"Multivariate analysis of risk factors for long-term urethroplasty outcome","volume":"183","author":"Breyer BN","year":"2010","journal-title":"J Urol"},{"issue":"2","key":"ref35","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.juro.2007.03.126","article-title":"Incidence of urethral stricture after primary treatment for prostate cancer: data From CaPSURE","volume":"178","author":"Elliott SP","year":"2007","journal-title":"J Urol"},{"issue":"3","key":"ref36","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1159\/000241680","article-title":"Dorsal onlay versus ventral onlay urethroplasty for anterior urethral stricture: a meta-analysis","volume":"83","author":"Wang K","year":"2009","journal-title":"Urol Int"},{"issue":"5-6","key":"ref37","doi-asserted-by":"crossref","DOI":"10.5489\/cuaj.1661","article-title":"Stricture length and etiology as preoperative independent predictors of recurrence after urethroplasty: a multivariate analysis of 604 uretroplasties","volume":"8","author":"Kinnaird AS","year":"2014","journal-title":"Can Urol Assoc J"}],"container-title":["Acta Cir\u00fargica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-86502025000100504&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T07:34:28Z","timestamp":1743579268000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-86502025000100504&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":37,"alternative-id":["S0102-86502025000100504"],"URL":"https:\/\/doi.org\/10.1590\/acb403525","relation":{},"ISSN":["1678-2674","0102-8650"],"issn-type":[{"value":"1678-2674","type":"electronic"},{"value":"0102-8650","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e403525"}}