Sexual Dysfunction After Urethroplasty

Urol Clin North Am. 2017 Feb;44(1):49-56. doi: 10.1016/j.ucl.2016.08.013.

Abstract

Posturethroplasty sexual dysfunction (SD) is multifactorial and its true incidence is unknown. Even with the current evidence suggesting that it is uncommon, de novo SD causes dissatisfaction even after a successful surgery. Posterior urethroplasty carries the highest chance of SD, mostly attributable to the pelvic fracture itself rather than the urethroplasty. With anterior urethroplasty, transecting bulbar urethroplasty leads to greater SD compared with penile or nontransecting bulbar urethroplasty. Most patients with posturethroplasty SD recover within 6 months after surgery.

Keywords: Erectile dysfunction; Sexual dysfunction; Sexuality preserving; Urethral stricture; Urethroplasty.

Publication types

  • Review

MeSH terms

  • Erectile Dysfunction* / epidemiology
  • Erectile Dysfunction* / etiology
  • Erectile Dysfunction* / physiopathology
  • Global Health
  • Humans
  • Incidence
  • Male
  • Plastic Surgery Procedures / adverse effects*
  • Postoperative Complications*
  • Sexuality*
  • Urethral Stricture / surgery*
  • Urologic Surgical Procedures, Male / adverse effects*