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Sexual Dysfunction Following Urethroplasty for Urethral Stricture Disease

  • Male and Female Surgical Interventions (C Carson & P Selph, Section Editors)
  • Published:
Current Sexual Health Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To review the relationship between different techniques of urethroplasty on sexual function, discuss the limitations of current literature, and report on novel techniques for improving sexual function following urethroplasty.

Recent Findings

Recent literature utilizing prospective trials comparing different techniques of urethroplasty (transecting vs. non-transecting) have shown no significant difference in postoperative sexual function outcomes. It is now apparent that postoperative sexual outcomes play a significant role in overall patient satisfaction with urethroplasty. Current scientific evidence is limited by either low sample size, heterogeneous patient populations, differing urethroplasty techniques, varied stricture etiologies, differing follow-up protocols, or the reliance on self-reporting of sexual function by patients through either validated or non-validated questionnaires. Urethroplasty-specific questionnaires are being developed to better characterize sexual dysfunction postoperatively.

Summary

Current data support an overall low impact of urethroplasty on sexual function; however, the more nuanced aspects of sexual function have not been adequately defined due to the limitations of current literature. Further investigation utilizing standardized questionnaires with the ability to elicit data regarding the different elements of sexual function will be necessary for further characterization of the impact of urethroplasty in order to optimize patient outcomes.

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Papers of particular interest, published recently, have been highlighted as: • Of importance

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Authors and Affiliations

  1. Department of Urology, The University of Alabama at Birmingham School of Medicine, FOT 1119, 510 20TH Street South, Birmingham, AL, 35294, USA

    Joseph A Fougerousse & J Patrick Selph

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  1. Joseph A Fougerousse
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Correspondence to J Patrick Selph.

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Fougerousse, J.A., Selph, J.P. Sexual Dysfunction Following Urethroplasty for Urethral Stricture Disease. Curr Sex Health Rep 12, 405–410 (2020). https://doi.org/10.1007/s11930-020-00288-y

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