Comparing cheek (buccal) tissue versus penile skin grafts for repairing long anterior urethral strictures
Official title: Penile Skin Versus Buccal Mucosal Graft in Augmentation Urethroplasty for Long Anterior Urethral Stricture: A Prospective Randomized Study
Run by Tanta University · NCT07074717 · Data updated 2026-11-12
This will test whether cheek (buccal) tissue or penile skin works better to repair long anterior urethral strictures in men who need urethroplasty.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Months and up |
| Sex | Men only |
| Enrollment | 80 (estimated) |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, El-Gharbia Governorate, Egypt) |
| Status | Recruiting |
| Started | January 1, 2025 |
| Main results expected | December 1, 2025 |
| Study ends | December 1, 2025 |
| Registry record updated | July 20, 2025 |
| Trial ID | NCT07074717 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Men with long segment anterior (bulbar) urethral strictures over 1 cm with spongiofibrosis who have failed prior urethral dilatation or DVIU and meet surgical fitness criteria are ideal candidates.
✕Probably not a fit
Patients with lichen sclerosus, a history of hypospadias repair, or recurrent stricture after previous urethroplasty are excluded and unlikely to benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional surgical comparison enrolls men with long segment anterior urethral strictures and compares dorsal onlay buccal mucosal graft (BMG) urethroplasty to penile skin graft (PSG) urethroplasty. Eligible patients typically have strictures longer than 1 cm with spongiofibrosis and prior failed dilation or DVIU, while those with lichen sclerosus, prior hypospadias repair, or previous failed urethroplasty are excluded. Surgeons perform substitution urethroplasty using the assigned graft type and patients are followed for functional outcomes, complications, and stricture recurrence. The goal is to determine which graft yields better urinary function and fewer complications in this setting.
Why it matters
Potential benefit: If successful, the results could help surgeons choose the graft that provides better long-term urinary function and fewer complications for men with long anterior urethral strictures.
How similar studies have gone: Both buccal mucosal grafting and penile skin reconstruction have extensive case-series support and good reported outcomes, but direct head-to-head comparative data are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with long segment anterior urethral stricture that was defined as a stricture with a length of more than 1 cm with spongiofibrosis. * Patients with previous failed urethral dilatation or direct vision internal urethrotomy (DVIU) Exclusion Criteria: * Patients with lichen sclerosus * Patients with history of hypospadias repair * Patients with recurrent urethral stricture after failed previous urethroplasty
Where it's running
-
Tanta University
Tanta, El-Gharbia Governorate, Egypt, Egypt Recruiting
Study contacts
- Study coordinator: Mohamed I Elmaadawy, MD
- Email: Mohamed.elmaadawy@med.tanta.edu.eg
- Phone: 00201060245430
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Joshi's step with buccal graft repair for nearly obliterated bulbar urethral strictures
This will try Joshi's step combined with a buccal mucosal graft to improve urine flow and surgical outcomes for people with nearly obliterated bulbar urethral strictures.
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General versus spinal anesthesia with local numbing for buccal mucosal graft urethroplasty
This project will see if spinal anesthesia plus local numbing causes less mouth and overall postoperative pain than general anesthesia for adult men having urethroplasty with a buccal (cheek) graft.
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Intraoperative Lidocaine or Dexmedetomidine to Help Postoperative Pain After Urethral Reconstruction
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Urethral Resistive Index (URI) as a non-invasive test for urethral blockage
This project tests a new, painless urine-flow measure called the Urethral Resistive Index (URI) to see if it can detect urethral strictures in men.
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Fat graft beneath penile skin graft during reconstruction
This study tests whether placing a small amount of a patient's own fat under the skin graft on the penis improves healing and cosmetic results after penile reconstruction.
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Oral mucosa versus labial grafts for female urethral reconstruction
This trial will see if oral mucosal grafts or labial grafts work better for women having urethroplasty to treat urethral stricture.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.