Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function
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 ureth...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/912438 |
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| author | Matthias Beysens Enzo Palminteri Willem Oosterlinck Anne-Françoise Spinoit Piet Hoebeke Philippe François Karel Decaestecker Nicolaas Lumen |
| author_facet | Matthias Beysens Enzo Palminteri Willem Oosterlinck Anne-Françoise Spinoit Piet Hoebeke Philippe François Karel Decaestecker Nicolaas Lumen |
| author_sort | Matthias Beysens |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a405cd572a8944fc9467ce7296af2dbf |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-a405cd572a8944fc9467ce7296af2dbf2025-08-20T03:38:26ZengWileyAdvances in Urology1687-63691687-63772015-01-01201510.1155/2015/912438912438Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual FunctionMatthias Beysens0Enzo Palminteri1Willem Oosterlinck2Anne-Françoise Spinoit3Piet Hoebeke4Philippe François5Karel Decaestecker6Nicolaas Lumen7Department of Urology, Ghent University Hospital, 9000 Ghent, BelgiumCenter for Urethral and Genital Surgery, 52100 Arezzo, ItalyDepartment of Urology, Ghent University Hospital, 9000 Ghent, BelgiumDepartment of Urology, Ghent University Hospital, 9000 Ghent, BelgiumDepartment of Urology, Ghent University Hospital, 9000 Ghent, BelgiumDepartment of Urology, CH Mouscron, 7700 Mouscron, BelgiumDepartment of Urology, Ghent University Hospital, 9000 Ghent, BelgiumDepartment of Urology, Ghent University Hospital, 9000 Ghent, BelgiumObjectives. 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.http://dx.doi.org/10.1155/2015/912438 |
| spellingShingle | Matthias Beysens Enzo Palminteri Willem Oosterlinck Anne-Françoise Spinoit Piet Hoebeke Philippe François Karel Decaestecker Nicolaas Lumen Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function Advances in Urology |
| title | Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function |
| title_full | Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function |
| title_fullStr | Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function |
| title_full_unstemmed | Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function |
| title_short | Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function |
| title_sort | anastomotic repair versus free graft urethroplasty for bulbar strictures a focus on the impact on sexual function |
| url | http://dx.doi.org/10.1155/2015/912438 |
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