Evidence map›Paper›PMID 40796767›Full record

Trial reportScientific reports2025

Comparative outcomes of penile skin grafts versus buccal mucosal grafts in urethroplasty for the treatment of extensive anterior urethral strictures.

Ahmed Alrefaey, Mohamed Ahmed Anwar, Mostafa Ezzeldeen Abdelmagid, Ibrahim Alaa Eldin Tagrida, Adel Elatreisy, Ahmed Fahim

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ahmed AlrefaeyUrology Department, Faculty of Medicine, Al-Azhar university, Cairo, Egypt. a7medrefa3y.ash@gmail.com.
Mohamed Ahmed AnwarUrology Department, Faculty of Medicine, Al-Azhar university, Cairo, Egypt.
Mostafa Ezzeldeen AbdelmagidUrology Department, Faculty of Medicine, Al-Azhar university, Cairo, Egypt.
Ibrahim Alaa Eldin TagridaUrology Department, Faculty of Medicine, Al-Azhar university, Cairo, Egypt.
Adel ElatreisyUrology Department, Faculty of Medicine, Al-Azhar university, Cairo, Egypt.
Ahmed FahimUrology Department, Faculty of Medicine, Al-Azhar university, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the outcomes of augmentation urethroplasty (AU) performed with either buccal mucosa graft (BMG) or penile skin graft (PSG) in managing long-segment anterior urethral strictures. A prospective randomized trial involved 98 patients diagnosed with anterior urethral stricture scheduled to AU between June 2022 and December 2024. Participants were randomly assigned to either the PSG or BMG arms. The comparison included patient demographics, clinicopathological characteristics of strictures, and surgical outcomes. The primary outcome was the success rate at 12 months. Secondary outcomes included functional parameters, such as the Urethral Stricture Surgery-Patient Related Outcome Measure (USS-PROM), the International Prostate Symptom Score (IPSS), the International Index of Erectile Function (IIEF) Score, the Male Sexual Health Questionnaire for Ejaculatory Dysfunction (MSHQ-EJD), Q-max, and perioperative complications. The study arms were comparable regarding the preoperative parameters with a mean stricture length ± SD of 6.4 ± 2.3 and 7.9 ± 4.1 cm for PSG and BMG, respectively (p = 0.11). After a median follow-up of 20 months (12-30), the success rates of AU with PSG and BMG were comparable (93.2% v/s 97.9%, respectively; p = 0.346). There was no statistically significant difference in the IIEF (p = 0.8) and MSHQ-EJD (p = 0.22). The improvements in USS-PROM: LUTS domain (p = 0.19), USS-PROM: peeling voiding score (p = 0.62), IPSS (p = 0.43), and Q-max (p = 0.39) were comparable between the study arms. Clavien-Dindo grade I-III complications were 6.8 and 8.3% (p = 0.8), with patients' satisfaction of 90.9% and 93.8% (p = 0.5) for PSG and BMG, respectively. Kaplan-Meier survival analysis showed no statistically significant difference in stricture-free survival among both techniques (hazard ratio 1.19; p = 0.275). Our study demonstrates that PSG and BMG techniques for augmentation anterior urethroplasty have high and comparable success rates, with equal patient satisfaction and similarly low morbidity. Neither technique negatively affected sexual or ejaculatory functions.

Indexed as

Mouth MucosaPenisSkin TransplantationUrethraUrethral StrictureUrologic Surgical Procedures, MaleAdultHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesTreatment OutcomeBuccal mucosa, penile skin, graftStrictureUrethra

Identifiers

PMID40796767
PMCPMC12343868

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.