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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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| Published in: | International urology and nephrology 2015-05, Vol.47 (5), p.797-802 |
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| container_title | International urology and nephrology |
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| creator | El-Assmy, Ahmed Harraz, Ahmed M. Benhassan, Mohammed Fouda, Mohamed Gaber, Hady Nabeeh, Adel Ibrahiem, El Housseiny I. |
| description | 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. |
| doi_str_mv | 10.1007/s11255-015-0945-9 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1677378421</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1677378421</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-5c8d5413b1c1e66636021cc3521cbac015783abe9e673571ce91155996c14f663</originalsourceid><addsrcrecordid>eNp1kctu1TAQhi0EoofCA7BBkdh0E_DEsR2zQ1W5SJXYtGvLcSbgoyQOdoKUp-grd8IpFyGx8EUz3__P2MPYS-BvgHP9NgNUUpYcaJlaluYRO4DUoqxkUz9mBy44lKAqccae5XzknJuG86fsrJJaNw3oA7u7SuiXMGDRbblfJ7rHqZhjXsoZU5jQDYWbXF7iGJfgizXh8i3FeaDQVvQxFUty6-j-5EgQpuOaAuZ3u3TYcshF7CnqQ4eTR4p2e4kc2jAEsqEkdRF_YNqesye9GzK-eDjP2e2Hq5vLT-X1l4-fL99fl76uq6WUvulkDaIFD6iUEopX4L2QtLfO04_oRrgWDSotpAaPBkBKY5SHuif-nF2cfOcUv6-YFzuG7HEY3IRxzRaU1kI3dQWEvv4HPcY10cN-UqqWShlDFJwon-hlCXs7pzC6tFngdp-WPU3LUm92n5bdNa8enNd2xO634td4CKhOQKbU9BXTX6X_63oPpfKifA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1676456699</pqid></control><display><type>article</type><title>Erectile dysfunction post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery</title><source>Springer Link</source><creator>El-Assmy, Ahmed ; Harraz, Ahmed M. ; Benhassan, Mohammed ; Fouda, Mohamed ; Gaber, Hady ; Nabeeh, Adel ; Ibrahiem, El Housseiny I.</creator><creatorcontrib>El-Assmy, Ahmed ; Harraz, Ahmed M. ; Benhassan, Mohammed ; Fouda, Mohamed ; Gaber, Hady ; Nabeeh, Adel ; Ibrahiem, El Housseiny I.</creatorcontrib><description>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.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-015-0945-9</identifier><identifier>PMID: 25778817</identifier><identifier>CODEN: IURNAE</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>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</subject><ispartof>International urology and nephrology, 2015-05, Vol.47 (5), p.797-802</ispartof><rights>Springer Science+Business Media Dordrecht 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-5c8d5413b1c1e66636021cc3521cbac015783abe9e673571ce91155996c14f663</citedby><cites>FETCH-LOGICAL-c442t-5c8d5413b1c1e66636021cc3521cbac015783abe9e673571ce91155996c14f663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27938,27939</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25778817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Assmy, Ahmed</creatorcontrib><creatorcontrib>Harraz, Ahmed M.</creatorcontrib><creatorcontrib>Benhassan, Mohammed</creatorcontrib><creatorcontrib>Fouda, Mohamed</creatorcontrib><creatorcontrib>Gaber, Hady</creatorcontrib><creatorcontrib>Nabeeh, Adel</creatorcontrib><creatorcontrib>Ibrahiem, El Housseiny I.</creatorcontrib><title>Erectile dysfunction post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anastomosis, Surgical - adverse effects</subject><subject>Follow-Up Studies</subject><subject>Fractures, Bone - classification</subject><subject>Fractures, Bone - complications</subject><subject>Humans</subject><subject>Impotence, Vasculogenic - diagnostic imaging</subject><subject>Impotence, Vasculogenic - epidemiology</subject><subject>Impotence, Vasculogenic - etiology</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Pelvic Bones - injuries</subject><subject>Perineum</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Surveys and Questionnaires</subject><subject>Trauma Severity Indices</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Urethra - injuries</subject><subject>Urethra - surgery</subject><subject>Urethral Stricture - etiology</subject><subject>Urethral Stricture - surgery</subject><subject>Urology</subject><subject>Urology - Original Paper</subject><subject>Young Adult</subject><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kctu1TAQhi0EoofCA7BBkdh0E_DEsR2zQ1W5SJXYtGvLcSbgoyQOdoKUp-grd8IpFyGx8EUz3__P2MPYS-BvgHP9NgNUUpYcaJlaluYRO4DUoqxkUz9mBy44lKAqccae5XzknJuG86fsrJJaNw3oA7u7SuiXMGDRbblfJ7rHqZhjXsoZU5jQDYWbXF7iGJfgizXh8i3FeaDQVvQxFUty6-j-5EgQpuOaAuZ3u3TYcshF7CnqQ4eTR4p2e4kc2jAEsqEkdRF_YNqesye9GzK-eDjP2e2Hq5vLT-X1l4-fL99fl76uq6WUvulkDaIFD6iUEopX4L2QtLfO04_oRrgWDSotpAaPBkBKY5SHuif-nF2cfOcUv6-YFzuG7HEY3IRxzRaU1kI3dQWEvv4HPcY10cN-UqqWShlDFJwon-hlCXs7pzC6tFngdp-WPU3LUm92n5bdNa8enNd2xO634td4CKhOQKbU9BXTX6X_63oPpfKifA</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>El-Assmy, Ahmed</creator><creator>Harraz, Ahmed M.</creator><creator>Benhassan, Mohammed</creator><creator>Fouda, Mohamed</creator><creator>Gaber, Hady</creator><creator>Nabeeh, Adel</creator><creator>Ibrahiem, El Housseiny I.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150501</creationdate><title>Erectile dysfunction post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery</title><author>El-Assmy, Ahmed ; Harraz, Ahmed M. ; Benhassan, Mohammed ; Fouda, Mohamed ; Gaber, Hady ; Nabeeh, Adel ; Ibrahiem, El Housseiny I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-5c8d5413b1c1e66636021cc3521cbac015783abe9e673571ce91155996c14f663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anastomosis, Surgical - adverse effects</topic><topic>Follow-Up Studies</topic><topic>Fractures, Bone - classification</topic><topic>Fractures, Bone - complications</topic><topic>Humans</topic><topic>Impotence, Vasculogenic - diagnostic imaging</topic><topic>Impotence, Vasculogenic - epidemiology</topic><topic>Impotence, Vasculogenic - etiology</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Pelvic Bones - injuries</topic><topic>Perineum</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Surveys and Questionnaires</topic><topic>Trauma Severity Indices</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Urethra - injuries</topic><topic>Urethra - surgery</topic><topic>Urethral Stricture - etiology</topic><topic>Urethral Stricture - surgery</topic><topic>Urology</topic><topic>Urology - Original Paper</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El-Assmy, Ahmed</creatorcontrib><creatorcontrib>Harraz, Ahmed M.</creatorcontrib><creatorcontrib>Benhassan, Mohammed</creatorcontrib><creatorcontrib>Fouda, Mohamed</creatorcontrib><creatorcontrib>Gaber, Hady</creatorcontrib><creatorcontrib>Nabeeh, Adel</creatorcontrib><creatorcontrib>Ibrahiem, El Housseiny I.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El-Assmy, Ahmed</au><au>Harraz, Ahmed M.</au><au>Benhassan, Mohammed</au><au>Fouda, Mohamed</au><au>Gaber, Hady</au><au>Nabeeh, Adel</au><au>Ibrahiem, El Housseiny I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Erectile dysfunction post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>47</volume><issue>5</issue><spage>797</spage><epage>802</epage><pages>797-802</pages><issn>0301-1623</issn><eissn>1573-2584</eissn><coden>IURNAE</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>25778817</pmid><doi>10.1007/s11255-015-0945-9</doi><tpages>6</tpages></addata></record> |
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| 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 |
| title | Erectile dysfunction post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery |
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