UP-1.168: Voiding and Erectile Functions after Anastomotic Urethroplasty

Ammani, A.; Abbar, M.; Dakkak, Y.; Janane, A.; Ameur, A.; Ghadouane, M.

doi:10.1016/j.urology.2009.07.615

Cited by 1 publication

(1 citation statement)

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“…Two authors independently extracted predetermined categorical information data from the selected articles. This information included: study dates; number and age of patients; mean stricture length; location of the stricture; type of urethroplasty performed; number of patients with de novo ED after urethroplasty; whether or not this ED resolved during the timeframe of the study; length of study follow‐up; whether or not all patients were questioned about erectile function; whether or not patients were questioned about erectile function before their operation; whether or not a standardized questionnaire such as the International Index of Erectile Function (IIEF) was used; and whether the study was prospective or retrospective (Table ).…”

Section: Methodsmentioning

confidence: 99%

De novo erectile dysfunction after anterior urethroplasty: a systematic review and meta‐analysis

et al. 2013

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Objective To evaluate the likelihood of developing de novo erectile dysfunction (ED) after anterior urethroplasty and to determine if this likelihood is influenced by age, stricture length, number of previous procedures or timing of evaluation. Materials and Methods PubMed, Embase, Cochrane, and Google Scholar databases were searched for the terms `urethroplasty', `urethral obstruction', `urethral stricture', `sexual function', `erection', `erectile function', `erectile dysfunction', `impotence' and `sexual dysfunction'. Two reviewers evaluated articles for inclusion based on predetermined criteria. Results In a meta-analysis of 36 studies with a total of 2323 patients, de novo ED was rare, with an incidence of 1%. In studies that assessed postoperative erectile function at more than one time point, ED was transient and resolved at between 6 and 12 months in 86% of cases. Conclusions Men should be counselled regarding the possibility of transient or permanent de novo ED after anterior urethroplasty procedures. Increasing mean age was associated with an increased likelihood of de novo ED, but this was not statistically significant.

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Section: Methodsmentioning

confidence: 99%