How do you decide between a single-stage and staged approach for a pan-urethral or long-segment anterior urethral stricture repair?

In practice, the decision between a single-stage and staged repair depends less on the length of the stricture than on the quality of the urethral plate and surrounding tissues.

A single-stage oral mucosal graft urethroplasty is generally preferred when the stricture is nonobliterative, the urethral ...

I almost always try to do these in one stage. Most long or pan-urethral strictures can be fixed in a single operation with buccal grafts. Sometimes, I'll invert the penis into the perineum and do a Kulkarni dorsal onlay, but inversion can be a real struggle, and there's nothing wrong with just openi...

In my practice, staged repairs are reserved for hypospadias complications/failures and complex re-do cases. For all others, a one stage repair is usually preferred.

I think etiology plays a role here, along with previous treatment. If there are no previous augmentation failures and no history of hypospadias, I would try to approach it as a single stage.