{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:25:10Z","timestamp":1787765110635,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Reconstruction of fossa navicularis stricture (FNS) poses a challenge in providing acceptable functional and cosmetic outcomes. We describe our novel surgical technique and its short-term results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This urethroplasty technique is a single-stage dorsal inlay buccal mucosal graft placement with subcoronal vertical sagittal ventral urethrotomy without glansplasty. Twenty-one operated patients were followed up at 2 months and 6 months postoperatively. We studied the functional outcome of the International Prostate Symptom Score, quality of life (QoL) score, maximum flow rate, postvoid residual (PVR) urine, and reconstructed urethral luminal caliber. Sexual function was studied via a brief male sexual function inventory. Hypospadias objective score evaluation (HOSE) was used to assess the cosmesis. Patient satisfaction was evaluated using the global response assessment score (GRA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      FNS is seen commonly associated with lichen sclerosus (n = 12). Nine patients had stricture that extended into the distal penile urethra. The mean stricture length was 2.76 cm. At the end of the study, a significant improvement in mean IPPS (18.81), mean QoL score (2.25), mean Q\n                      <jats:sub>max<\/jats:sub>\n                      (20.94 mL\/s), mean PVR (103.05 mL), and mean urethral caliber (16.06 Fr) were noted. No difference in sexual drive and erectile function but significant improvement in ejaculation was noted. All patients had single-stream urine, reconstructed urethral caliber \u226516Fr, HOSE \u226514, and GRA \u22652 at 6 months. Except for two patients, all had vertical slit-like meatus.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This technique is feasible, with good cosmetic, functional, and subjective outcomes with marked patient\u2019 satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_290_23","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:00:39Z","timestamp":1703833239000},"page":"49-55","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A single-stage dorsal inlay buccal mucosal graft placement through subcoronal vertical sagittal ventral urethrotomy without glansplasty for reconstruction of meatal stenosis, fossa navicularis, and distal penile urethral stricture: Our initial experience"],"prefix":"10.4103","volume":"40","author":[{"given":"Swadeep Kumar","family":"Srivastava","sequence":"first","affiliation":[{"name":"Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debansu","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilip Kumar","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Urology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"R1-20240903","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/j.urology.2004.12.018","article-title":"Anterior urethral strictures: Etiology and characteristics","volume":"65","author":"Fenton","year":"2005","journal-title":"Urology"},{"key":"R2-20240903","first-page":"32","article-title":"Anterior urethral stricture review","volume":"2","author":"Stein","year":"2013","journal-title":"Transl Androl Urol"},{"key":"R3-20240903","doi-asserted-by":"crossref","first-page":"371","DOI":"10.4103\/0970-1591.85442","article-title":"Management of the stricture of fossa navicularis and pendulous urethral strictures","volume":"27","author":"Singh","year":"2011","journal-title":"Indian J Urol"},{"key":"R4-20240903","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s00120-017-0555-5","article-title":"Meatal and glandular urethral strictures","volume":"57","author":"Zeller","year":"2018","journal-title":"Urologe A"},{"key":"R5-20240903","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0022-5347(01)62895-7","article-title":"Reconstruction of resistant strictures of the fossa navicularis and meatus","volume":"160","author":"Armenakas","year":"1998","journal-title":"J Urol"},{"key":"R6-20240903","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1590\/S1677-5538.IBJU.2014.0093","article-title":"Does resectoscope size play a role in formation of urethral stricture following transurethral prostate resection?","volume":"41","author":"G\u00fcnes","year":"2015","journal-title":"Int Braz J Urol"},{"key":"R7-20240903","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1159\/000127344","article-title":"The hemostatic properties of transurethral plasmakinetic resection of the prostate: Comparison with conventional resectoscope in an ex vivo study","volume":"80","author":"Qu","year":"2008","journal-title":"Urol Int"},{"key":"R8-20240903","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1089\/end.2005.19.1203","article-title":"New bipolar resection device for transurethral resection of the prostate: First ex-vivo and in-vivo evaluation","volume":"19","author":"Wendt-Nordahl","year":"2005","journal-title":"J Endourol"},{"key":"R9-20240903","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/S0022-5347(17)43006-0","article-title":"Reconstruction of the fossa navicularis","volume":"138","author":"Jordan","year":"1987","journal-title":"J Urol"},{"key":"R10-20240903","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1046\/j.1464-410x.2001.02280.x","article-title":"HOSE: An objective scoring system for evaluating the results of hypospadias surgery","volume":"88","author":"Holland","year":"2001","journal-title":"BJU Int"},{"key":"R11-20240903","first-page":"103","article-title":"Evaluation of Jordan's meatoplasty for the treatment of fossa navicularis strictures. A retrospective study","volume":"70","author":"Babu","year":"2017","journal-title":"Cent European J Urol"},{"key":"R12-20240903","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S0090-4295(01)01377-2","article-title":"Dorsal free graft urethroplasty for urethral stricture by ventral sagittal urethrotomy approach","volume":"58","author":"Asopa","year":"2001","journal-title":"Urology"},{"key":"R13-20240903","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1007\/s11255-009-9555-8","article-title":"Meatoplasty using double buccal mucosal graft technique","volume":"41","author":"Goel","year":"2009","journal-title":"Int Urol Nephrol"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_290_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:58:34Z","timestamp":1787763514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_290_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,29]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_290_23","relation":{},"ISSN":["0970-1591","1998-3824"],"issn-type":[{"value":"0970-1591","type":"print"},{"value":"1998-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,29]]},"assertion":[{"value":"2023-07-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}