Evaluation of erectile function after anastomotic vs substitutional urethroplasty for bulbar urethral stricture.

Autor:	Omar RG; Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt., Khalil MM; Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt., Alezaby H; Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt., Sebaey A; Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt., Sherif H; Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt., Mohey A; Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt.
Jazyk:	angličtina
Zdroj:	Arab journal of urology [Arab J Urol] 2020 Aug 18; Vol. 18 (4), pp. 226-232. Date of Electronic Publication: 2020 Aug 18.
DOI:	10.1080/2090598X.2020.1805965
Abstrakt:	Objective: To evaluate erectile function (EF) after anastomotic (AU) vs substitutional urethroplasty (SU) for bulbar urethral stricture. Patients and Methods: This was a prospective comparative non-randomised clinical study conducted in the Department of Urology, Benha University Hospital, between September 2015 and September 2018, involving 34 male patients with urethral stricture. Preoperatively, all the patients completed the International Index of Erectile Function (IIEF)-15 (EF Domain) to establish baseline sexual function. AU was performed in 21 patients and SU in 13. The IIEF-15 (EF Domain) was administered again at 3- and 6-months postoperatively and compared to the preoperative results. Results: A total of 34 patients were included in the study, 21 in the AU group with a stricture length of ≤3 cm, and 13 in the SU group with a stricture length of >3 cm. All patients were sexually active preoperatively. In the AU group, seven patients developed erectile dysfunction (ED) at 3-months postoperatively, with four of them improving during the subsequent 3 months, but three had persistent ED at 6-months postoperatively. In the SU group, two patients developed ED at 3-months postoperatively and they improved during the subsequent 3 months. In the AU group, the mean IIEF-15 (EF Domain) score was 27.6 preoperatively, which decreased to 25.6 at 6-months postoperatively; however, this was statistically insignificant ( P = 0.10). While in the SU group, the mean IIEF-15 (EF Domain) score was the same before and at 6 months after SU at 27.2 ( P = 1.0). Conclusion: At 6-months postoperatively, there was no statistically significant impact of urethroplasty for bulbar urethral stricture on erectile function. Abbreviations : AU: anastomotic urethroplasty; ED: erectile dysfunction; EF: erectile function; IIEF: International Index of Erectile Function; SU: substitutional urethroplasty. Competing Interests: No potential conflict of interest was reported by the authors. (© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
Databáze:	MEDLINE
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