[Impotence in traumatic urethral strictures]

According to the author, impotence associated with traumatic urethral strictures arises rather due to operative intervention than primary trauma. Inaccurate manipulations of the surgeon may cause destruction of the bulbocavernous muscles and blood vessels reaching the penis at bulbar level. Another cause of impotence is chronic prostatitis which may follow long-term bougienage. Adequate operation allowing for anatomic and functional features of the perineum does not entail impotence.