Objective: To evaluate the pre- and postoperative aspects of sexual life (SL) in patients with bulbar urethral stricture who underwent ventral oral graft urethroplasty. Methods: Between 2009 and 2010, 52 men (mean age 36 years) were enrolled in our prospective study to ascertain sexual disorders before and after surgery. The validated Male Sexual Health Questionnaire-Long Form (MSHQ-LF) was completed pre- and postoperatively; the unvalidated but adapted Post-Urethroplasty Sexual Questionnaire (PUSQ) was completed postoperatively. Data were compared using the non parametric Wilcoxon test. Results: Before urethroplasty, most of the patients reported sexual disorders, in particular reduced ejaculatory stream (85%); many of them (35%) feared the risk of a postoperative worsening in the quality of SL. After urethroplasty, nobody reported a worsened erection, while most of the patients noticed a significant improvement in erection, ejaculation, relationship with their partner, sexual activity, and desire. Modifications in the scrotoperineal sensitivity were reported by 42% and 15% noticed esthetic changes without impact on SL. All patients reported an improvement in quality of life (QOL) and were satisfied with the outcome of urethroplasty. Conclusion: Urethral stricture disease may be responsible for sexual disorders that have a significant impact upon SL. Patients confessed a marked anxiety tackling urethroplasty and declared that one of their deepest fears regarded a potential further deterioration in the quality of SL. At short-term follow-up, the minimally invasive ventral graft urethroplasty does not cause sexual complications, apart from the post-ejaculation dribbling. On the contrary, this technique showed to restore SL in all its aspects.
The impact of ventral oral graft bulbar urethroplasty on sexual life / E. Palminteri, E. Berdondini, C. De Nunzio, G. Bozzini, S. Maruccia, C. Scoffone, L. Carmignani. - In: UROLOGY. - ISSN 0090-4295. - 81:4(2013 Apr), pp. 891-898.
Titolo: | The impact of ventral oral graft bulbar urethroplasty on sexual life |
Autori: | CARMIGNANI, LUCA FABIO (Ultimo) |
Parole Chiave: | Adult; Ejaculation; Humans; Male; Mouth Mucosa; Penile Erection; Quality of Life; Sexual Behavior; Sexual Dysfunction, Physiological; Transplantation, Autologous; Treatment Outcome; Urethra; Urethral Stricture |
Settore Scientifico Disciplinare: | Settore MED/24 - Urologia |
Data di pubblicazione: | apr-2013 |
Rivista: | |
Tipologia: | Article (author) |
Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.urology.2012.11.059 |
Appare nelle tipologie: | 01 - Articolo su periodico |