{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:29:27Z","timestamp":1786649367045,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Long bulbar urethral strictures not amenable to excision and primary anastomosis are best managed with substitution urethroplasty. Buccal mucosa grafts (BMGs) and inner preputial flaps (IPFs) are the most established options, each with advantages and limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 100 patients (age 26\u201362 years, mean stricture length 3.5 cm) underwent single-stage dorsal onlay substitution urethroplasty using either BMG (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 60) or IPF (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 40). Preoperative evaluation included retrograde urethrography, uroflowmetry (Qmax), postvoid residual volume, and questionnaires (International Prostate Symptom Score [IPSS]; International Index of Erectile Function-5). Surgical success was defined as Qmax \u226515 mL\/s, IPSS &lt;8, and no obstructive symptoms or re-intervention. Patients were followed at 6 and 12 months. Stricture-free survival was analyzed using Kaplan\u2013Meier estimates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both groups demonstrated significant improvement in urinary flow and symptom scores at follow-up, with preservation of erectile function. At 6 months, composite surgical success was observed in 85% of patients undergoing BMG urethroplasty and 78% of those undergoing IPF urethroplasty (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.09). At 12 months, stricture-free survival was 92% in the BMG group and 84% in the IPF group (log-rank\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.12). Complication rates were low and comparable between groups, with no Clavien\u2013Dindo grade \u2265 III events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both BMG and IPF urethroplasty achieve excellent 1-year outcomes. BMG shows a trend toward greater durability and technical simplicity, whereas IPF remains a valuable option when oral harvest is contraindicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_140_25","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:00:32Z","timestamp":1775829632000},"page":"186-197","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative outcomes of buccal mucosa graft versus inner preputial flap substitution urethroplasty for long-segment anterior urethral stricture: A retrospective cohort study"],"prefix":"10.4103","volume":"18","author":[{"given":"Bhavyadeep","family":"Korrapati","sequence":"first","affiliation":[{"name":"Department of Urology and Renal Transplantation, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijayanand","family":"Mani","sequence":"additional","affiliation":[{"name":"Department of Urology and Renal Transplantation, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Velmurugan","family":"Palaniyandi","sequence":"additional","affiliation":[{"name":"Department of Urology, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hariharasudhan","family":"Sekar","sequence":"additional","affiliation":[{"name":"Department of Urology, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriram","family":"Krishnamoorthy","sequence":"additional","affiliation":[{"name":"Department of Urology, Sri Ramachandra 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