{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T19:52:16Z","timestamp":1782935536728,"version":"3.54.5"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The objective of this study was to evaluate the feasibility and clinical outcomes of single-stage dorsal onlay urethroplasty using thigh-harvested split-thickness skin grafts (STSGs) for the treatment of panurethral strictures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between July 2019 and November 2023, 17 patients with urethral strictures \u22658 cm underwent single-stage dorsal onlay STSG urethroplasty at a single center. Grafts were harvested using an electric dermatome. Follow-up included uroflowmetry at 1, 6, 12, 24, and 36 months, alongside 5-item International Index of Erectile Function (IIEF-5) and International Prostate Symptom Score quality of life questionnaires at 48 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean patient age was 55.6 years, and the median stricture length was 10 cm. Etiology was primarily iatrogenic (70.6%), followed by lichen sclerosus (23.5%) and infection (5.9%). Median operative time and hospital stay were 249 min (interquartile ranges [IQR]: 79) and 5 days (IQR: 2.5), respectively. The overall complication rate was 11.8%. Median Qmax remained stable over time: 22.3 mL\/s at 1 month, 25 mL\/s at 6 months, 22 mL\/s at 12 months, and 19 mL\/s at 48 months. At the 3-year assessment, the median post-void residual measured by bladder scan and confirmed with uroflowmetry was 30 mL (IQR: 30). At 48 months, median IIEF-5 was 23 (IQR: 12), indicated preserved erectile function. One recurrence occurred within 24 months, with five total recurrences by 48 months. Regarding patient satisfaction (Likert scale), 14 out of 17 patients reported being \u201csatisfied\u201d or \u201cvery satisfied.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Single-stage panurethroplasty with STSG is a feasible, effective, and durable surgical option for long-segment strictures. Larger studies are needed to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_46_26","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:34:29Z","timestamp":1782902069000},"page":"232-238","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Split-thickness thigh skin grafts for extended urethroplasty: Retrospective assessment of surgical and functional outcomes"],"prefix":"10.4103","volume":"42","author":[{"given":"Bruno","family":"Bucca","sequence":"first","affiliation":[{"name":"Department of Urology, Universit\u00e0 La Sapienza, Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta","family":"Basile","sequence":"additional","affiliation":[{"name":"Department of Urology, Universit\u00e0 La Sapienza, Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orietta","family":"Dalpiaz","sequence":"additional","affiliation":[{"name":"Department of Urology, Public Hospital Klagenfurt am Woerthersee, Klagenfurt, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Zeder","sequence":"additional","affiliation":[{"name":"Department of Urology, Hochsteiermark Hospital, Leoben, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Magdalena","family":"Bernsteiner","sequence":"additional","affiliation":[{"name":"Department of Urology, Hochsteiermark Hospital, Leoben, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Pilhatsch","sequence":"additional","affiliation":[{"name":"Department of Urology, Hochsteiermark Hospital, Leoben, 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characteristics","volume":"65","author":"Fenton","year":"2005","journal-title":"Urology"},{"key":"R2-20260701","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.urology.2012.08.062","article-title":"Contemporary urethral stricture characteristics in the developed world","volume":"81","author":"Palminteri","year":"2013","journal-title":"Urology"},{"key":"R3-20260701","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1097\/01.ju.0000149740.02408.19","article-title":"Buccal mucosal urethroplasty for balanitis xerotica obliterans related urethral strictures: The outcome of 1 and 2-stage techniques","volume":"173","author":"Dubey","year":"2005","journal-title":"J Urol"},{"key":"R4-20260701","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.mjafi.2022.12.002","article-title":"Advances in urethroplasty","volume":"79","author":"Kulkarni","year":"2023","journal-title":"Med J Armed Forces 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Urol"},{"key":"R10-20260701","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1590\/S1677-55382008000500009","article-title":"Full-thickness abdominal skin graft for long-segment urethral stricture reconstruction","volume":"34","author":"Meeks","year":"2008","journal-title":"Int Braz J Urol"},{"key":"R12-20260701","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1111\/j.1464-410X.2009.08590.x","article-title":"One-sided anterior urethroplasty: A new dorsal onlay graft technique","volume":"104","author":"Kulkarni","year":"2009","journal-title":"BJU Int"},{"key":"R13-20260701","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.ucl.2016.08.011","article-title":"Management of panurethral stricture","volume":"44","author":"Kulkarni","year":"2017","journal-title":"Urol Clin North Am"},{"key":"R14-20260701","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.1442-2042.2009.02435.x","article-title":"Urethroplasty for urethral strictures: Quality 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