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Erectile function, sexual drive, and ejaculatory function after reconstructive surgery for anterior urethral stricture disease
Author(s) -
Erickson Bradley A.,
Wysock James S.,
McVary Kevin T.,
Gonzalez Christopher M.
Publication year - 2007
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/j.1464-410x.2006.06669.x
Subject(s) - medicine , erectile dysfunction , urethroplasty , ejaculation , sexual function , urethral stricture , reconstructive surgery , erectile function , retrograde ejaculation , peyronie's disease , urology , surgery , urethra , prostate , cancer
Associate Editor Michael G. Wyllie Editorial Board Ian Eardley, UK Jean Fourcroy, USA Sidney Glina, Brazil Julia Heiman, USA Chris McMahon, Australia Bob Millar, UK Alvaro Morales, Canada Michael Perelman, USA Marcel Waldinger, Netherlands OBJECTIVE To evaluate the effect of urethral reconstructive surgery on sexual drive, erectile function and ejaculation. PATIENTS AND METHODS The study group consisted of 52 men with a median (range) age of 44 (18–79) years who underwent 59 urethral reconstructive procedures for anterior urethral stricture disease between 2001 and 2004. We evaluated sexual functioning using the O’Leary Brief Male Sexual Function Inventory (BMSFI) before and after surgery. RESULTS The mean ( sd ) follow‐up was 22.3 (14.8) months. The mean BMSFI scores were only statistically significantly different for an improvement in ejaculation after surgery ( P = 0.04). When separated by age, only the men aged 50–59 years reported decreased erectile function after surgery ( P < 0.001) and only those aged <40–49 years reported an improvement in ejaculatory function ( P = 0.05). Men at <1 year after surgery reported lower sexual drive ( P = 0.025) and erectile function ( P = 0.05) than men with longer periods of recovery. CONCLUSIONS The BMFSI is useful for evaluating sexual function after urethroplasty. Overall, the men did not report a decline in erectile function or sexual drive after surgery; however, older men might have a higher incidence of erectile dysfunction after surgery. Erectile function might recover with time. Younger men had the most pronounced improvement in ejaculatory function, but further studies are necessary to evaluate the clinical significance of this.