Evaluation of Erectile Function After Urethral Reconstruction: a Prospective Study

Overview

Journal Asian J Androl

Specialty Urology

Date 2009 Jan 6

PMID 19122678

Citations 17

Authors

Hong Xie

Yue-Min Xu

Xiao-Lin Xu

Yin-Long Sa

Deng-Long Wu

Xin-Chi Zhang

Affiliations

Soon will be listed here.

Abstract

We conducted a prospective study of erectile dysfunction (ED) after urethral reconstructive surgery, using the 5-item International Index of Erectile Function (IIEF-5), the Sexual Life Quality Questionnaire (SLQQ) and the Quality of Life Questionnaire (QoLQ). Between January 2003 and July 2007, 125 male patients with urethral strictures underwent urethroplasty, and pre- and post-surgery erectile function was assessed using these three questionnaires. A formula to predict the probability of ED after urethroplasty was derived. At 3 months post-operatively, there was a significant decrease in IIEF-5 (16.57 +/- 7.98) and SLQQ scores (28.71 +/- 14.84) compared with pre-operative scores (P < 0.05). However, the IIEF-5 scores rebounded at 6 months post-operatively (17.22 +/- 8.41). Logistical regression analysis showed that the location of the urethral stricture, the recurrence of strictures and the choice of surgical technique were predictive of the post-operative occurrence of ED. This study identified the clinical risk factors for ED after urethroplasty. Posterior urethral stricture and end-to-end anastomosis were found to have a strong relationship with erectile function. The logistical model derived in this study may be applied to clinical decision algorithms for patients with urethral strictures.

Citing Articles

Urethrocystography: a guide for urological surgery?.

Freitas P, Alves A, Correia P, Dias J Diagn Interv Radiol. 2023; 29(1):9-17.

PMID: 36959709 PMC: 10679595. DOI: 10.5152/dir.2022.21640.

Prospective study of sexual dysfunction after anterior urethroplasty: Causative factors, incidence, and recovery of function - A single-center experience.

Bhowmik P, Sharma G, Sharma P, Patawari P, Dey S, Mandal S Urol Ann. 2022; 14(1):60-66.

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Sexual function after anterior urethroplasty: a systematic review.

Calleja Hermosa P, Campos-Juanatey F, Varea Malo R, Correas Gomez M, Gutierrez Banos J Transl Androl Urol. 2021; 10(6):2554-2573.

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The impact of post-urethroplasty erectile dysfunction on the quality of life and treatment satisfaction.

Kaluzny A, Krukowski J, Frankiewicz M, Matuszewski M Cent European J Urol. 2021; 74(1):116-120.

PMID: 33976926 PMC: 8097642. DOI: 10.5173/ceju.2021.0306.R1.

Erectile dysfunction after urethroplasty.

Kaluzny A, Krukowski J, Matuszewski M Cent European J Urol. 2020; 72(4):402-407.

PMID: 32015911 PMC: 6979548. DOI: 10.5173/ceju.2019.1737.

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