Sexual function after anterior urethroplasty: a systematic review
Paola Calleja Hermosa1, Felix Campos-Juanatey1,2, Raquel Varea Malo1
1Urology Department, Marques de Valdecilla University Hospital, Santander, Spain.
Translational Andrology and Urology
|July 23, 2021
Summary
Anterior urethral reconstruction can lead to sexual dysfunction, impacting patient satisfaction. Discussing these sexual outcomes during preoperative counseling is crucial for managing expectations after urethroplasty.
Area of Science:
- Urology
- Sexual Medicine
- Reconstructive Surgery
Background:
- Urethral surgery outcomes traditionally focus on urinary function.
- Sexual dysfunction is a significant, often overlooked, consequence of urethroplasty.
- Patient quality of life and perceived success are affected by sexual health post-surgery.
Purpose of the Study:
- To evaluate the link between anterior urethral reconstruction and sexual dysfunction.
- To identify factors that may predict sexual outcomes after urethroplasty.
- To synthesize current evidence on sexual consequences of anterior urethroplasty.
Main Methods:
- Systematic literature search of PubMed database.
- Keywords included 'anterior urethroplasty', 'bulbar urethroplasty', 'penile urethroplasty', and terms related to sexual dysfunction.
- Data extraction and evidence summary from 38 included studies.
Main Results:
- Thirty-eight studies were analyzed; no randomized trials were found.
- Anterior urethral surgery can negatively impact erectile function, ejaculation, penile aesthetics, and genital sensitivity.
- Patient perception of sexual impairment correlated with overall postoperative satisfaction.
Conclusions:
- Sexual dysfunction is a critical issue following anterior urethral reconstruction.
- Preoperative counseling must include a thorough discussion of potential sexual consequences.
- Future reporting of urethroplasty outcomes should incorporate validated assessments of sexual function.
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