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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Posterior urethral valves and adult sexual function
Seppo Taskinen1, Jukka Heikkilä, Pekka Santtila
1Department of Paediatric Surgery, Children's Hospital, University of Helsinki, Helsinki, Finland. seppo.taskinen@hus.fi
BJU International
|March 28, 2012
Summary
Adult men treated for posterior urethral valves (PUV) experience similar erectile dysfunction rates and paternity success compared to the general population. Chronic renal failure (CRF) does not significantly impact these outcomes.
Area of Science:
- Urology
- Andrology
- Pediatric Surgery
Background:
- Posterior urethral valves (PUV) are a common congenital anomaly in male infants.
- Long-term outcomes regarding sexual function and fertility in adult PUV survivors are not well-established.
- Understanding these outcomes is crucial for comprehensive patient management.
Purpose of the Study:
- To evaluate sexual function and fertility in adult patients previously treated for childhood PUV.
- To compare sexual function and paternity rates with a control population.
- To investigate the influence of chronic renal failure (CRF), cryptorchidism, and bladder neck incision on sexual function.
Main Methods:
- A cohort of 108 adult PUV patients was assessed using the International Index of Erectile Function (IIEF) questionnaire.
- Sexual function, paternity, and history of CRF were recorded.
- Data were compared to 201 controls and a national paternity database.
Main Results:
- No significant differences in erectile dysfunction (ED) prevalence or erection hardness were found between PUV patients and controls.
- Increasing age was the only identified risk factor for ED in PUV patients.
- Paternity rates in PUV patients were comparable to the general Finnish population, even in those with CRF or kidney transplants.
Conclusions:
- Adult men treated for PUV demonstrate comparable erectile function and paternity rates to their non-PUV counterparts.
- Satisfactory sexual function and fertility are achievable despite a history of PUV and associated conditions like CRF.
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