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

Vol. 44 (x): 2018 October 10.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0276


ORIGINAL ARTICLE

Ahmet Urkmez 1, Ozgur H. Yuksel 2, Emrah Ozsoy 1, Ramazan Topaktas 1, Aytac Sahin 2, Orhan Koca 1, Metin I. Ozturk 1
1 Department of Urology, University of Health Sciences, Haydarpasa Numune Research & Training Hospital, Istanbul, Turkey; 2 Department of Urology, University of Health Sciences, Fatih Sultan Mehmet Research & Training Hospital, Istanbul, Turkey

 

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.

Keywords: Erectile Dysfunction; Prospective Studies; Orgasm

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