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2015 ; 2015
(ä): 912438
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English Wikipedia
Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus
on the Impact on Sexual Function
#MMPMID26494997
Beysens M
; Palminteri E
; Oosterlinck W
; Spinoit AF
; Hoebeke P
; François P
; Decaestecker K
; Lumen N
Adv Urol
2015[]; 2015
(ä): 912438
PMID26494997
show ga
Objectives. To evaluate alterations in sexual function and genital sensitivity
after anastomotic repair (AR) and free graft urethroplasty (FGU) for bulbar
urethral strictures. Methods. Patients treated with AR (n = 31) or FGU (n = 16)
were prospectively evaluated before, 6 weeks and 6 months after urethroplasty.
Evaluation included International Prostate Symptom Score (IPSS), 5-Item
International Index of Erectile Function (IIEF-5), Ejaculation/Orgasm Score
(EOS), and 3 questions on genital sensitivity. Results. At 6 weeks, there was a
significant decline of IIEF-5 for AR (-4.8; p = 0.005), whereas there was no
significant change for FGU (+0.9; p = 0.115). After 6 months, differences with
baseline were not significant overall and among subgroups. At 6 weeks, there was
a significant decline in EOS for AR (-1.4; p = 0.022). In the FGU group there was
no significant change (+0.6; p = 0.12). Overall and among subgroups, EOS
normalized at 6 months. After 6 weeks and 6 months, respectively, 62.2 and 52% of
patients reported alterations in penile sensitivity with no significant
differences among subgroups. Conclusions. AR is associated with a transient
decline in erectile and ejaculatory function. This was not observed with FGU.
Bulbar AR and FGU are likely to alter genital sensitivity.