Related Experiment Video
Updated: Jan 7, 2026
04:22
Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
765
Patient-reported outcomes on urethroplasty's effects on ejaculatory function.
Abdullah Alkhayal1, Raed M Almannie2, Muath Almurayyi3
1College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Therapeutic Advances in Urology
|December 25, 2025
Summary
Urethroplasty outcomes for ejaculation were similar between excision and primary anastomosis (EPA) and substitution urethroplasty (SU). Younger age predicts better ejaculatory function after urethroplasty surgery.
Area of Science:
- Urology
- Andrology
- Reconstructive Surgery
Background:
- Urethroplasty, a surgical procedure for urethral strictures, may impact ejaculatory function due to potential nerve damage.
- Understanding postoperative ejaculatory outcomes is crucial for patient counseling and surgical planning.
Purpose of the Study:
- To compare ejaculatory function and satisfaction after excision and primary anastomosis (EPA) versus substitution urethroplasty (SU).
- To identify predictors of ejaculatory outcomes and patient satisfaction following urethroplasty.
Main Methods:
- A retrospective cohort study evaluated 63 sexually active men who underwent anterior urethroplasty.
- Patients were divided into EPA (n=33) and SU (n=30) groups.
- Ejaculatory function and satisfaction were assessed using the Male Sexual Health Questionnaire (MSHQ).
Main Results:
- No significant difference in ejaculatory function or satisfaction scores between EPA and SU groups.
- The mean MSHQ Erection Scale score was significantly different between groups (p=0.008).
- Younger age was the only independent predictor of improved ejaculatory function (p=0.001).
Conclusions:
- Postoperative ejaculatory function is comparable between EPA and SU urethroplasty.
- Patient age is a significant factor influencing ejaculatory outcomes.
- Surgical technique or stricture characteristics did not predict patient satisfaction.
Related Concept Videos
01:19Urodynamic Studies: Uroflowmetry
3.0K
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...
3.0K
01:17Male Sexual Response: Erection & Ejaculation
17.5K
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.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
17.5K
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
2.0K
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...
2.0K
01:20Disorders of the Male Reproductive System
3.9K
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.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
3.9K
01:25Urinary Tract Calculi VI: Surgical Management
328
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
328
01:21Nursing Assessment of the Genitourinary System I: Health History
343
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
343