{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:30:29Z","timestamp":1786739429360,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Meatal stenosis and fossa navicularis strictures (FNSs) are commonly caused by lichen sclerosus and instrumentation. We present the technique and short-term functional outcomes of glans cap-preserving dorsal inlay-free graft augmentation for the reconstruction of meatal stenosis and FNS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study analyzed patients with meatal stenosis and FNS who underwent glans cap-preserving dorsal inlay-free graft augmentation at our institute since 2019. The surgical technique included a ventral subcoronal approach, preservation and mobilization of the glans cap, a ventral midline urethrotomy incision over the stricture, and a dorsal midline meatotomy incision extending to the proximal normal urethral mucosa at the fossa navicularis, followed by dorsal inlay graft augmentation. During the follow-up, patients were periodically assessed for symptom scores, urinary flow rates (UFRs), and patient-reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 26 patients with a mean age of 45 \u00b1 15 years were assessed. The predominant cause of stricture was lichen sclerosus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 15; 58%). The mean stricture length was 3.8 \u00b1 0.5 cm, 73% had a circumcised phallus, and an oral mucosa graft augmentation was performed in 22 (85%) patients. Notable postoperative complications included intractable meatal hemorrhage (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1) and glans suture granuloma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), which required intervention. At a mean follow-up of 40 months, there were four failures, of which one patient required redo-urethroplasty. The remaining patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 22; 85%) showed improved symptom scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), UFRs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), and satisfactory patient-reported outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Glans cap-preserving dorsal inlay-free graft augmentation is a safe and feasible technique with satisfactory short-term functional outcomes for the management of meatal stenosis and FNS in carefully selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_61_24","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T10:00:27Z","timestamp":1719914427000},"page":"156-160","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Glans cap-preserving dorsal inlay-free graft augmentation technique for reconstruction of meatal stenosis and fossa navicularis strictures: Analysis of short-term functional outcomes"],"prefix":"10.4103","volume":"40","author":[{"given":"Bhavatej","family":"Enganti","sequence":"first","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Nanavati","sequence":"additional","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay Kumar Sarma","family":"Madduri","sequence":"additional","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amish","family":"Wani","sequence":"additional","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallikarjuna","family":"Chiruvella","sequence":"additional","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,1]]},"reference":[{"key":"R1-20260527","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":"R2-20260527","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.juro.2006.08.062","article-title":"Fossa navicularis reconstruction:Impact of stricture length on outcomes and assessment of extended meatotomy (first stage Johanson) maneuver","volume":"177","author":"Morey","year":"2007","journal-title":"J Urol"},{"key":"R3-20260527","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/bju.16007","article-title":"Transurethral ventral inlay buccal mucosa graft urethroplasty:Technique and intermediate outcomes","volume":"132","author":"Sterling","year":"2023","journal-title":"BJU Int"},{"key":"R4-20260527","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.urology.2020.12.014","article-title":"Glans preservation in surgical treatment of distal urethral strictures with dorsal buccal mucosa graft onlay by subcoronal 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