Erectile function after anterior urethroplasty

John W. Coursey, Allen F. Morey, Jack W. McAninch, Duncan J. Summerton, Charles Secrest, Paige White, Kennon Miller, Christopher Pieczonka, David Hochberg, Noel Armenakas

Research output: Contribution to journalArticle

100 Citations (Scopus)

Abstract

Purpose: We ascertained the impact of anterior urethroplasty on male sexual function. Materials and Methods: A validated questionnaire was mailed to 200 men who underwent anterior urethroplasty to evaluate postoperative sexual function. Questions addressed the change in erect penile length and angle, patient satisfaction with erection, preoperative and postoperative coital frequency, and change in erection noted by the sexual partner. Results were stratified by the urethral reconstruction method, namely anastomosis, buccal mucosal graft, penile flap and all others, and compared with those in a similar group of men who underwent circumcision only. Results: Of the 200 men who underwent urethroplasty 152 who were 17 to 83 years old (mean age 45.7) completed the questionnaire. Average followup was 36 months (range 3 to 149). Overall there was a similar incidence of sexual problems after urethroplasty and circumcision. Penile skin flap urethroplasty was associated with a slightly higher incidence of impaired sexual function than other procedures (p >0.05). Men with a longer stricture were most likely to report major changes in erectile function and penile length (p <0.05) but improvement was evident with time in 61.8%. Conclusions: Overall anterior urethral reconstruction appears no more likely to cause longterm postoperative sexual dysfunction than circumcision. Men with a long stricture may be at increased risk for transient erectile changes.

Original languageEnglish (US)
Pages (from-to)2273-2276
Number of pages4
JournalJournal of Urology
Volume166
Issue number6
StatePublished - 2001

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Pathologic Constriction
Cheek
Sexual Partners
Coitus
Incidence
Patient Satisfaction
Transplants
Skin
Surveys and Questionnaires

Keywords

  • Penile erection
  • Penis
  • Questionnaires
  • Urethra

ASJC Scopus subject areas

  • Urology

Cite this

Coursey, J. W., Morey, A. F., McAninch, J. W., Summerton, D. J., Secrest, C., White, P., ... Armenakas, N. (2001). Erectile function after anterior urethroplasty. Journal of Urology, 166(6), 2273-2276.

Erectile function after anterior urethroplasty. / Coursey, John W.; Morey, Allen F.; McAninch, Jack W.; Summerton, Duncan J.; Secrest, Charles; White, Paige; Miller, Kennon; Pieczonka, Christopher; Hochberg, David; Armenakas, Noel.

In: Journal of Urology, Vol. 166, No. 6, 2001, p. 2273-2276.

Research output: Contribution to journalArticle

Coursey, JW, Morey, AF, McAninch, JW, Summerton, DJ, Secrest, C, White, P, Miller, K, Pieczonka, C, Hochberg, D & Armenakas, N 2001, 'Erectile function after anterior urethroplasty', Journal of Urology, vol. 166, no. 6, pp. 2273-2276.
Coursey JW, Morey AF, McAninch JW, Summerton DJ, Secrest C, White P et al. Erectile function after anterior urethroplasty. Journal of Urology. 2001;166(6):2273-2276.
Coursey, John W. ; Morey, Allen F. ; McAninch, Jack W. ; Summerton, Duncan J. ; Secrest, Charles ; White, Paige ; Miller, Kennon ; Pieczonka, Christopher ; Hochberg, David ; Armenakas, Noel. / Erectile function after anterior urethroplasty. In: Journal of Urology. 2001 ; Vol. 166, No. 6. pp. 2273-2276.
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