Erectile dysfunction post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery

Purpose To evaluate the incidence of erectile dysfunction (ED) and recoverability of erectile function (EF) after anastomotic urethroplasty for traumatic urethral injuries (TUIs) of different etiologies. Methods A retrospective review for patients’ records underwent perineal anastomotic urethroplast...

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Bibliographic Details
Published in:International urology and nephrology 2015-05, Vol.47 (5), p.797-802
Main Authors: El-Assmy, Ahmed, Harraz, Ahmed M., Benhassan, Mohammed, Fouda, Mohamed, Gaber, Hady, Nabeeh, Adel, Ibrahiem, El Housseiny I.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anastomosis, Surgical - adverse effects
Follow-Up Studies
Fractures, Bone - classification
Fractures, Bone - complications
Humans
Impotence, Vasculogenic - diagnostic imaging
Impotence, Vasculogenic - epidemiology
Impotence, Vasculogenic - etiology
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Pelvic Bones - injuries
Perineum
Recovery of Function
Retrospective Studies
Surveys and Questionnaires
Trauma Severity Indices
Ultrasonography, Doppler, Color
Urethra - injuries
Urethra - surgery
Urethral Stricture - etiology
Urethral Stricture - surgery
Urology
Urology - Original Paper
Young Adult
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Summary:Purpose To evaluate the incidence of erectile dysfunction (ED) and recoverability of erectile function (EF) after anastomotic urethroplasty for traumatic urethral injuries (TUIs) of different etiologies. Methods A retrospective review for patients’ records underwent perineal anastomotic urethroplasty for TUIs from June 1998 to January 2014 was conducted. Those patients were contacted and evaluated using the International Index of erectile function questionnaire in sexually active men, and in unmarried men, the single-question self-report of ED was used. Patients with ED underwent penile color Doppler ultrasonography. Results Overall, 81 patients were included in the study. The incidences of ED following urethroplasty for TUIs were 72.3, 35.3 and 0 % in cases due to pelvic fracture, straddle and iatrogenic injuries, respectively. None of the patients reported deterioration of EF after urethroplasty. Seven (13.5 %) patients reported recovery of their EF within 2 years after trauma. The probability of recovery of EF after PFUI was 9 % compared to 28.6 and 100 % in patients with straddle and iatrogenic urethral injuries, respectively. Patients with type C pelvic fracture had no chance for EF recoverability. Conclusions PFUIs have a probability of causing ED as much as 72 % compared to 35 and 0 % in men with straddle and iatrogenic urethral injuries, respectively. Anastomotic urethroplasty has no deleterious effect on EF. A tendency for higher recoverability of EF could be observed after iatrogenic urethral injuries followed by straddle injury then PFUIs. The probability of recovery decreased proportionally with severity of pelvic trauma.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-015-0945-9