Influences of three surgical approaches to urethral stricture on the erectile function of the patients.
- Author:
Zhi-Yong XIAN
;
Qing-Ke CHEN
;
Han-Zhong CHEN
;
Chu-Jin YE
;
Zi-Wei FENG
;
Dong LI
;
Xiao-Yong PU
;
Huai-Peng WANG
;
Xiang-Ming MAO
;
Jiu-Min LIU
- Publication Type:Journal Article
- MeSH: Adult; Aged; Humans; Intraoperative Period; Male; Middle Aged; Penile Erection; physiology; Urethral Stricture; surgery; Urologic Surgical Procedures, Male; methods; Young Adult
- From: National Journal of Andrology 2014;20(8):706-708
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the impacts of three different surgical approaches to urethral stricture on the erectile function of the patients.
METHODSThis study included 126 male patients with urethral stricture, 35 treated by substitution urethroplasty (group A), 52 by anastomotic urethroplasty (group B), and 39 by internal urethroplasty (group C). We evaluated the pre- and postoperative erectile function of the patients using IIEF-5 scores by telephone calls and interviews. We also monitored their nocturnal penile tumescence (NPT).
RESULTSThe IIEF-5 scores in groups A, B and C were 13.5 +/- 4.5, 11.1 +/- 4.8 and 14.5 +/- 4.41 respectively after surgery, all significantly decreased as compared with 17.1 +/- 2.6, 17.1 +/- 3.0 and 17.6 +/- 2.2 preoperatively (P < 0.05).
CONCLUSIONAll the three surgical approaches can reduce IIEF-5 scores in patients with urethral stricture, but anastomotic urethroplasty may induce a higher incidence of erectile dysfunction than the other two approaches.