Abstract
The authors present a well written article with the objective of identifying risk factors for stricture recurrence after either ventral onlay or dorsal inlay buccal mucosal graft urethroplasty. Their findings are interesting in that the only factor identified on multivariable analysis as predictive of anatomic urethroplasty failure was a lesser decrease in postoperative hemoglobin concentration. They speculate that a greater drop in the hemoglobin is a surrogate for more intraoperative blood loss which is a surrogate for more favorable spongiosal microcirculation which in turn results in improved survival of the graft and therefore a lower likelihood of stricture recurrence.
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