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Sexual Dysfunction After Urethroplasty.

Prem Nath Dogra1, Prabhjot Singh1, Rishi Nayyar1

  • 1Department of Urology, All India Institute of Medical Sciences, Room 5030, 5th Floor, Teaching Block, New Delhi 110029, India.

The Urologic Clinics of North America
|December 3, 2016
PubMed
Summary
This summary is machine-generated.

Sexual dysfunction (SD) after urethroplasty is uncommon but can occur. Most cases of post-urethroplasty SD resolve within six months, with posterior urethroplasty posing a higher risk, often due to associated pelvic fractures.

Keywords:
Erectile dysfunctionSexual dysfunctionSexuality preservingUrethral strictureUrethroplasty

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Area of Science:

  • Urology
  • Sexual Medicine
  • Reconstructive Surgery

Background:

  • Sexual dysfunction (SD) is a potential complication following urethroplasty, impacting patient satisfaction.
  • The exact incidence of de novo SD after urethroplasty remains unclear, despite evidence suggesting it is infrequent.

Purpose of the Study:

  • To investigate the incidence and characteristics of sexual dysfunction following urethroplasty.
  • To identify risk factors associated with post-urethroplasty sexual dysfunction.

Main Methods:

  • Review of literature on urethroplasty outcomes and sexual dysfunction.
  • Analysis of patient data stratified by urethroplasty type (anterior vs. posterior) and surgical technique.

Main Results:

  • Posterior urethroplasty is associated with a higher risk of SD, often linked to the initial pelvic fracture rather than the surgical procedure itself.
  • Transecting bulbar urethroplasty for anterior urethral strictures results in greater SD compared to penile urethroplasty or non-transecting bulbar techniques.
  • The majority of patients experiencing post-urethroplasty SD show improvement within a 6-month postoperative period.

Conclusions:

  • While de novo sexual dysfunction is an uncommon complication of urethroplasty, it can lead to patient dissatisfaction.
  • Surgical technique and the presence of associated injuries (e.g., pelvic fractures) are key factors influencing the risk of SD.
  • Most cases of post-urethral reconstruction sexual dysfunction are transient and resolve spontaneously within six months.