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De novo erectile dysfunction after anterior urethroplasty: a systematic review and meta‐analysis
Author(s) -
Goel Apul,
Sharma Kuldeep,
Sharma Pradeep
Publication year - 2013
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12362_3
Subject(s) - george (robot) , medicine , erectile dysfunction , urology , gynecology , general surgery , art , surgery , art history
Various studies have been conducted in this regard, but the dilemma persists as to whether ESWL given in the early decades of life is harmful as regards the later development of hypertension, diabetes mellitus or impact on renal growth. These issues are of concern as several animal studies have proved the potential for adverse long-term consequences of ESWL in the paediatric population in the form of a significant decrease in effective renal plasma flow or a significant increase in mean arterial blood pressure [3]. These animal studies suggest that the acute renal injury may progress to scar formation resulting in loss of functional renal volume. Also in a 9-year follow-up study of children, overall renal size was found to be decreased not only in the treated kidney after a session of ESWL, but also in the contralateral normal kidney [4].