Performing one-stage urethroplasty in patients with urethral strictures caused by lichen sclerosis (LS) is hotly debated among reconstructive urologists due to conflicting reports of success. Therefore, the objective of this study was to determine the pooled incidence of stricture recurrence following one-stage buccal mucosal graft (BMG) urethroplasty in LS patients, to determine the impact of surgical technique on recurrence and to compare recurrence risk between LS and non-LS patients after one-stage repairs.