The relationship between erectile function and complex panurethral stricture： a preliminary ,nvestigative and descriptive study

作     者：Hong Xie Yue-Min Xu Qiang Fu Ying-Long Sa YongQiao 

作者机构：Department of Urology Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China. 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2015年第17卷第2期

页      面：315-318,I0012页

核心收录：

学科分类：10[医学] 

主　　题：erectile dysfunction panurethral stricture urethral reconstruction 

摘      要：The aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated before and after surgery. The length and location of stricture and duration from initial diagnosis to operation were recorded. The International Index of Erectile Function-5 （IIEF-5） scores, the quality of life （QoL） scores and the maximal flow rate were obtained before and 3, 6, and 12 months after surgery. A significant improvement in QoL and maximal flow rate was observed 3, 6, and 12 months after surgery compared with those observed before surgery （P 〈 0.05）. An impairment of erectile function was observed in patients with multi-site stricture 3 months after surgery （P 〈 0.05）. Subsequently, these patients recovered 6 and 12 months after surgery. Three months after surgery, the IIEF-5 scores in patients with anterior urethral stricture were higher than those with multi-site stricture. Similar results were observed 6 and 12 months after surgery. No significant difference in age or duration from initial diagnosis to final operation was observed between patients with erectile dysfunction after surgery and patients with normal erectile function. However, a linear regressive relationship was detected between IIEF-5 scores and location of urethral stricture. Surgical reconstruction for treating panurethral strictures has limited effects on erectile function. The location of the stricture, particularly when extended to posterior urethra, was found to be associated with erectile function after surgery.