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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
ejaculatory functionerectile dysfunctionsatisfaction scaleurethroplasty

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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.