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Disorders of the Male Reproductive System01:20

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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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Male Sexual Response: Erection & Ejaculation01:17

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Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Urodynamic Studies: Uroflowmetry01:19

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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Urethra01:16

Urethra

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The urethra is a hollowed tubular organ through which urine is expelled from the body. This structure extends from the bladder to the external opening, allowing urine to be released.
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Penis01:29

Penis

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The penis serves a dual role in sexual reproduction and urination. It consists of three main regions: the glans penis, the body, and the root, each with distinct functions and unique anatomical features.
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Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
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Erectile and Ejaculatory Dysfunction After Urethroplasty.

Kevin Heinsimer1, Lucas Wiegand2

  • 1Department of Urology, University of South Florida, Tampa General Circle, STC Floor 6, Tampa, FL, 33606, USA. kheinsimer@usf.edu.

Current Urology Reports
|February 8, 2021
PubMed
Summary
This summary is machine-generated.

Urethroplasty generally has minimal permanent effects on sexual function, with most patients experiencing transient erectile dysfunction that resolves within a year. Counseling on potential sexual function changes is recommended before urethroplasty.

Keywords:
Anterior urethroplastyEjaculatory dysfunctionErectile dysfunctionGraft urethroplastyNon-transecting urethroplastyPosterior urethroplasty

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Vessel-sparing Excision and Primary Anastomosis
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Vessel-sparing Excision and Primary Anastomosis
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Area of Science:

  • Urology
  • Sexual Medicine

Background:

  • Urethroplasty is increasingly used for urethral strictures.
  • Its impact on sexual function requires thorough evaluation.

Purpose of the Study:

  • To assess the effects of anterior and posterior urethroplasty on erectile and ejaculatory function.
  • To inform patient counseling regarding sexual function outcomes.

Main Methods:

  • Review of outcomes following anterior urethroplasty.
  • Review of outcomes following posterior urethroplasty.

Main Results:

  • Anterior urethroplasty may cause transient erectile dysfunction, typically resolving by 12 months.
  • Posterior urethroplasty can improve pre-existing erectile dysfunction.
  • Ejaculatory function may improve due to reduced obstruction, though some experience decreased force.

Conclusions:

  • Urethroplasty has a minimal permanent impact on sexual function for most patients.
  • Individual outcomes vary, with some experiencing improvement and others worsening.
  • Pre-operative counseling on potential sexual function risks is crucial.