Patient-Reported Sexual Function After Staged Penile Urethroplasty

Area of Science:

• Urology
• Reconstructive Surgery
• Sexual Medicine

Background:

• Penile urethroplasty is a complex procedure for urethral strictures.
• Oral mucosal graft (OMG) urethroplasty is a common technique.
• Assessing sexual function outcomes is crucial for patient quality of life.

Purpose of the Study:

• To evaluate sexual function after staged penile urethroplasty with OMG.
• To assess changes in erectile and ejaculatory function.
• To determine subjective changes in penile curvature, length, and sensation.

Main Methods:

• Retrospective review of patients undergoing staged penile urethroplasty with OMG.
• Analysis of Sexual Health Inventory for Men (SHIM) and Male Sexual Health Questionnaire Ejaculatory Domain (MSHQ-EjD) scores.
• Assessment of subjective changes in penile curvature, length, and sensation.

Main Results:

• No significant changes in SHIM or MSHQ-EjD scores were observed postoperatively.
• 32% reported improved sexual intercourse satisfaction; 40% reported reduced bother with ejaculation.
• Significant rates of new penile curvature (23%), reduced length (55%), and altered sensitivity (45%) were reported.

Conclusions:

• Staged penile urethroplasty with OMG results in minimal changes to erectile and ejaculatory function.
• Patients should be counseled on potential changes in penile curvature, length, and sensitivity.
• Further research may explore strategies to mitigate these subjective changes.