The effect of urethroplasty surgery on erectile and orgasmic functions: a prospective study

Abstract

Objectives: to examine the effects of urethroplasty surgery on sexual functions by taking into account age, location of stenosis, length of stenosis and surgical technique parameters. Materials and Methods: The prospective study was conducted between January 2015 and August 2017 with 60 cases. Patients were categorized according to age groups (19-65 / 65-75 years), surgery technique and stricture localization and length. Before the urethroplasty operation and postoperative 6th month follow-up, the international index of erectile function (IIEF) form (15 questions), was filled, the relevant domains of sexual function; erectile function (Q1,2,3,4,5,15), orgasmic function (Q9,10) and overall satisfaction (Q13,14) were assessed. Results: The mean age of the cases is 54 ± 13. However, preoperative IIEF, sexual satisfaction and orgasmic function averages of patients with a stenosis segment length of 1-3 cm was found to be significantly higher than that of patients with a stenosis segment length of 4-7 cm. Between stenosis segment length groups, there was no statistical difference in terms of preoperative and postoperative sexual functions. And also, there was no statistically significant change in patients’ preoperative and postoperative sexual function scores in terms of localization of stricture and surgery techniques. However, there were statistically significant change in the postoperative IIEF and sexual satisfaction averages according to preoperative averages. Conclusion: Our study suggests that urethroplasty surgery itself does not significantly affect erectile function, orgasmic function, and general sexual satisfaction regardless of the type of surgery, localization and length of stenosis. Besides, there was a significant decrease in erectile function in senior adults.

Management and outcomes of urethral stricture: single centre experience over 13 years

“…Even though we found that urethroplasty operation alone did not affect erectile and orgasmic function in a study of 60 patients in 2019, there are contradictory publications in the literature [22,23]. Regarding sexual complications, age of the patient, surgery type and the cause for stricture has been stated as more influencing factors than the characteristics of the stricture [22,24,25]. Overall, complications rates of this study were found to be compatible with the literature.…”

Erectile function evaluation in patients after urethroplasty: systematic review and meta-analysis

“…В метаанализ были включены 16 научных работ [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] c общим числом пациентов 1476 (см. таблицу).…”

“…Схожие результаты были получены и в исследовании, проведенном A. Urkmez и соавт. При сравнении результатов внутри групп до 65 и старше 65 лет статистически значимой разницы не получено, однако при сопоставлении результатов между возрастными группами у пациентов младше 65 лет показатели эректильной функции были статистически значимо выше (p = 0,000) [22]. Роль возраста пациентов также была отмечена в исследовании U.P.…”

“…[20], в которой пациенты были распределены на 3 группы в зависимости от протяженности стриктуры уретры (<20 мм, 20-40 мм, >40 мм) (p = 0,733 и p = 0,859 соответственно). К аналогичным выводам пришли авторы и других исследований [14,18,21,22,29].…”

Re: Evaluation of erectile function after anastomotic vs substitution urethroplasty for bulbar stricture. Omar RG et al., Arab J Urol2020 [Epub ahead of print]. DOI:10.1080/2090598x.2020.1805965

“…The authors are to be commended for performing this study examining the impact of urethroplasty on EF specifically, but should acknowledge that the sample size is small and only a single questionnaire was used to assess EF. Urkmez et al [8] in 2019 published a series of 60 patients who underwent substitution or anastomotic urethroplasty and reported no impact on EF or orgasmic function, but acknowledged the lack of validated questionnaires available to assess sexual function after urethroplasty.…”