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The most common aetiology was post-instrumentation (65%) and 60% had stricture atpenobulbar site. Mean stricture length was 65mm. At a mean follow-up of 48months (range 30-66months), successful outcomes were seen in 69/80 (87%). Patients with failure were managed with optical internal urethrotomy (OIU). Uroflowmetry and obstructive symptoms significantly improved and sexual function remained unaffected using IPG for SU. Preputial graft is a tissue familiar to the urologist, located very close to the surgical field, easily harvested and