Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study
M S Bolat1, E Akdeniz1, R Asci2
1Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey.
Andrologia
|November 25, 2016
Summary
Ureteroscopic stone surgery can negatively impact male sexual function, including erectile and ejaculatory functions. Avoiding JJ stenting is recommended, but if necessary, patients should be informed of potential sexual dysfunction for at least three months.
Area of Science:
- Urology
- Sexual Medicine
Background:
- Ureteroscopic stone surgery is a common procedure for treating kidney stones.
- Sexual dysfunction is a potential concern following urological interventions.
Purpose of the Study:
- To evaluate the impact of ureteroscopic stone surgery on male sexual function.
- To assess the influence of JJ catheterization on sexual health outcomes.
Main Methods:
- A study group of 72 male patients undergoing ureteroscopic stone surgery was compared to 42 healthy males.
- Sexual function was assessed using the International Index of Erectile Function (IIEF) questionnaire pre-operatively and at 1 and 3 months post-operatively.
- Patient satisfaction and various related factors were evaluated.
Main Results:
- Erectile and ejaculatory functions, quality of life, and lower urinary tract symptoms were negatively affected post-surgery.
- The negative impact on sexual function appeared to decrease progressively over three months.
- Educational status, psychogenic aspects, and income status remained stable.
Conclusions:
- Ureteroscopic stone surgery, particularly with JJ catheterization, can lead to temporary sexual dysfunction.
- Avoiding JJ stents is advisable; if required, minimize indwelling time and counsel patients on potential sexual health impacts.
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