Functional Effects of Bulbospongiosus Muscle Sparing on Ejaculatory Function and Post-Void Dribbling after Bulbar Urethroplasty

Fredrick, Ariel; Erickson, Beth; Stensland, Kristian; Vanni, Alex J.

doi:10.1016/j.juro.2016.09.083

Cited by 17 publications

(8 citation statements)

References 15 publications

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“…While the prevalence of PMI following urethroplasty has been described as up to 30% in prior evaluations 1 , this study found an even higher prevalence of this symptom than has previously been described. This result may be partially attributed to the fact that the questionnaire described in 2011 by Jackson et al…”

Section: Discussioncontrasting

confidence: 73%

“…Post-micturition incontinence (PMI), or post-void dribbling, is a lower urinary tract symptom that negatively affects quality of life in men, with a reported prevalence of nearly 30% 1 . PMI rates increase with age, thought to reflect slower transit of urine through the urethra secondary to prostatic growth, bladder dysfunction, and potentially, an age-dependent decrease in contractility of the bulbospongiosus muscle 2 .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty

et al. 2018

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We will provide journalists and editors with full-text copies of the articles in question prior to the embargo date so that stories can be adequately researched and written. The standard embargo time is 12:01 AM ET on that date. Questions regarding embargo should be directed to jumedia@elsevier.com. (4)). Presence of PMI was defined as any answer > 0, and comparisons were made to stricture type, location, repair type, and patients' medical co-morbidities.RESULTS: Pre-and post-operative PMI questionnaires were completed by 614 and 331 patients, respectively. Patients without complete data were excluded. Pre-operative PMI was present in 73% of patients, of which 44% stated this symptom was present "most of the time".Overall post-operative PMI was present in 40%, again not predicted by stricture location or urethroplasty type. Of the 331 patients with follow-up questionnaires, 60% reported improvement, 32% were unchanged, and 8% reported worsening symptoms. The overall rate of de novo PMI was low at 6.3%.CONCLUSIONS: The prevalence of pre-operative PMI is high and likely under reported. Most patients' PMI improves after urethroplasty, and the prevalence of de novo PMI is low. The presence of PMI was not predicted by stricture length, location, or urethroplasty repair type.

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Section: Discussioncontrasting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty

et al. 2018

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“…13 This was further evaluated in a retrospective, multi-institutional, matched case-control study comparing muscle-sparing to non-muscle-sparing bulbar urethroplasty. 18 This study assessed pre-and post-operative ejaculatory dysfunction and, contrary to the initial report, found no benefit to muscle-sparing for preventing EjD.…”

Section: Discussioncontrasting

confidence: 65%

Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty

Theisen

Soubra²,

Grove³

et al. 2021

Urology

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“…Later, Fredrick et al (49) designed a comparative study to evaluate the effects of BSM sparing during bulbar urethroplasty. Patients were assessed pre-and postoperatively with MSHQ as well as a patient perception questionnaire.…”

Section: Changes In Ejaculatory Function After Bulbar Urethroplastymentioning

confidence: 99%

Sexual function after anterior urethroplasty: a systematic review

et al. 2021

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Background: Urethral surgery outcomes are often evaluated by assessing urinary flow and urethral patency. However, sexual consequences may appear after urethroplasty, impairing quality of life and patient's perception of success.The aim of this study is to assess the relationship between anterior urethral reconstruction and postoperative sexual dysfunction, including the proposed factors predicting sexual outcomes.Methods: We searched in PubMed database using the terms: "anterior urethroplasty", bulbar urethroplasty" or "penile urethroplasty", and "sexual dysfunction", "erectile function" or "ejaculation".Articles were independently evaluated for inclusion based on predetermined criteria. Systematic data extraction was followed by a comprehensive summary of evidence.Results: Thirty-eight studies were included for final analysis. No randomised trial on the topic was found.Urethral surgery might affect different aspects of sexual function: erectile function, ejaculatory function, penile shape and length, and genital sensitivity, leading to severe sexual dysfunction. Patient perception of sexual impairment was related to post-operative satisfaction.Conclusions: Sexual dysfunction after anterior urethral reconstruction is an important issue that must be appropriately discussed during preoperative patient counselling. Reported outcomes after anterior urethroplasty should include sexual consequences and relevance, evaluated using validated tools.

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Functional Effects of Bulbospongiosus Muscle Sparing on Ejaculatory Function and Post-Void Dribbling after Bulbar Urethroplasty

Abstract: Sparing the bulbospongiosus muscle during urethroplasty does not seem to have a significant impact on patient reported ejaculatory function or post-void dribbling compared with nonbulbospongiosus sparing urethroplasty at early followup.

Cited by 17 publications

References 15 publications

Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty

Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty

Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty

Sexual function after anterior urethroplasty: a systematic review

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