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External sphincterotomy: its effect on erections

D B Crane, R H Hackler

The Journal of Urology

|September 1, 1976

Summary

This summary is machine-generated.

External urethral sphincterotomy had minimal impact on erections in paraplegic patients. Most patients experienced no change in erectile function, with few reporting loss or increase after the procedure.

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Area of Science:

Urology
Neurology
Rehabilitation Medicine

Background:

Paraplegia often affects erectile function.
The impact of external urethral sphincterotomy on erectile capacity in paraplegics is not well-established.

Purpose of the Study:

To evaluate the effect of external urethral sphincterotomy on erectile function in patients with paraplegia.

Main Methods:

External urethral sphincterotomy was performed on 129 paraplegic patients.
Erectile function was assessed subjectively.
Data were correlated with injury level, completeness, age, and time since injury/sphincterotomy.

Main Results:

External urethral sphincterotomy had little effect on erections in the majority of patients.

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Only 2 out of 101 patients with pre-existing erections reported cessation of erectile capacity.

16% reported partial loss, 13% reported an increase, and 69% reported no change in erections.

Conclusions:

External urethral sphincterotomy appears to have minimal impact on erectile function in paraplegic individuals.
No definitive conclusions could be drawn regarding the etiology of altered erections based on the correlated factors.