Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty

Theisen, Katherine M.; Soubra, Ayman; Grove, Shawn; Vanni, Alex J.; Erickson, Beth; Breyer, Benjamin N.; Myers, Jeremy B.; Voelzke, Bryan B.; Broghammer, Joshua A.; Rourke, Keith; Alsikafi, Nejd F.; Buckley, Jill C.; Peterson, Andrew C.; Elliott, Sean P.

doi:10.1016/j.urology.2021.04.016

Cited by 4 publications

(4 citation statements)

References 21 publications

(27 reference statements)

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“…The TURNS study hypothesized that this was potentially related to urethroplasty technique. 6 However, they could not corroborate this idea, possibly due to the small proportion of patients reporting de-novo PVD (6.3%). Of significance, our series demonstrated that de novo-PVD in less likely to occur in patients undergoing anastomotic urethroplasty opposed to patients undergoing urethroplasty with tissue transfer (14.4% vs. 20.9%).…”

Section: Factors Associated With De Novo Postvoid Dribblingmentioning

confidence: 93%

“…5 However, if only de novo PVD is examined which would be the effect attributed to any intervention, the incidence post-operatively is potentially much lower. 6 Pre-operative PVD is thought to be generated by the stricture itself, which causes pooling of urine in the hydrodistended urethral proximal to the stenotic segment. 7 Alternately, de novo PVD seems to be the phenomenon of interest in order to assess the effect of urethroplasty on urethral function.…”

Section: Introductionmentioning

confidence: 99%

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Prospective assessment of the incidence and associations of postvoid dribbling after urethroplasty

Calvo¹,

Bekkema²,

Rourke³

2023

CUAJ

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Introduction: The incidence and associations of postvoid dribbling (PVD) after urethroplasty remains unclear. The purpose of this study was to examine the impact of urethroplasty on PVD and factors associated with de novo PVD. Methods: From 2011–2018, patients were offered enrollment in a prospective study assessing PVD after urethroplasty. PVD was assessed preoperatively and six months post-surgery with the question, “After urinating, do you have post-urination dribbling or leakage of urine?” Choices included, “Never” (1), “Occasionally” (2), “Sometimes” (3), “Most of the time” (4), or “All of the time” (5). A response of 3–5 was considered clinically significant. Wilcoxon signed-rank test was used to compare pre- and postoperative PVD, while logistic regression was used to determine the association between new onset PVD and clinical variables. Results: A total of 384 patients completed the study, with 46.9% (180) reporting PVD preoperatively compared to 39.8% (153) postoperatively (p=0.01); 18.0% (67) of patients experienced de novo PVD, 57.0% (219) no change and 25.0% (96) reported improvement. On multivariable logistic regression, patients undergoing anastomotic urethroplasty were less likely to report de novo PVD (odds ratio [OR] 0.33, 95% confidence interval [CI] 0.13–0.83, p=0.02). No other factor was associated with de novo PVD, including age (p=0.59), stricture length (p=0.71), location (p=0.50), etiology (p=0.59), failed endoscopic treatment (p=0.18), previous urethroplasty (p=0.55), or recurrence (p=0.78). De novo PVD was not associated with patient dissatisfaction (10.1% vs. 7.6%, p=0.49). Conclusions: Postvoid dribbling is common in patients with urethral stricture. While there is an overall improvement after urethroplasty, 18.0% of patients will experience de novo PVD, with a reduced incidence in those undergoing anastomotic urethroplasty.

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Section: Factors Associated With De Novo Postvoid Dribblingmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Prospective assessment of the incidence and associations of postvoid dribbling after urethroplasty

Calvo¹,

Bekkema²,

Rourke³

2023

CUAJ

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“…Теория «выпячивания» графта -наиболее ранняя теория, объясняющая патогенез ЭяД после уретропластики. При вентральном расположении трансплантатов (графтов или лоскутов) нарушается поддержка стенки уретры, что приводит к формированию в зоне операции псевдодивертикулов, накапливающих сперму и мочу [32]. G. D. Webster и соавт.…”

Section: эякуляторная дисфункцияunclassified

“…Theisen и соавт., при разной локализации стриктуры имеется разный патогенез эякуляторных нарушений, с чем и связано развитие эякуляторных нарушений de novo после операции. ЭяД встречается одинаково часто при пластике как в пенильном, так и в бульбозном отделе уретры [32].…”

Section: эякуляторная дисфункцияunclassified

Sexual dysfunction and reproductive disorders as complications of reconstructive urethral surgery.

R.U.,

S.I.,

T.V.

et al. 2024

ECU

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Introduction. Reconstructive interventions on the male urethra present a complex surgical challenge. It is crucial not only to restore the anatomical patency of the urethra but also patients’ quality of life. The onset of sexual dysfunction after the operation significantly reduces the patients' quality of life and their perception of treatment outcomes. Objective. To conduct a review of the current literature on sexual and reproductive disorders following reconstructive interventions on the male urethra. Material and methods. Literature search was conducted using the PubMed, Google Scholar, and eLibrary databases up to August 2023. The search was performed using keywords in both Russian and English, including urethroplasty, urethral stricture, sexual dysfunction, ejaculatory dysfunction, penile shortening, penile curvature, and cold glans. Results. The development of sexual dysfunction after reconstructive interventions on the urethra depends on anatomical factors, surgical technique, and the extent of urethral involvement. Erectile dysfunction is present within the first 6 months after the surgery, followed by gradual recovery. The development of ejaculatory dysfunction, penile shortening or curvature, as well as impaired sensitivity, depends on the chosen surgical approach. Conclusion. The literature on sexual dysfunction is characterized by heterogeneous studies, making their analysis challenging. Data on reproductive disorders following urethroplasty are presented only in a few studies. To further assess surgical und functional outcomes it is necessary to conduct multicenter studies using validated questionnaires.

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Erectile and Ejaculatory Function Following Anterior Urethroplasty: A Systematic Review and Meta-analysis

Pang

Osman

Chapple

et al. 2022

European Urology Focus

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Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty

Cited by 4 publications

References 21 publications

Prospective assessment of the incidence and associations of postvoid dribbling after urethroplasty

Prospective assessment of the incidence and associations of postvoid dribbling after urethroplasty

Sexual dysfunction and reproductive disorders as complications of reconstructive urethral surgery.

Erectile and Ejaculatory Function Following Anterior Urethroplasty: A Systematic Review and Meta-analysis

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