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- W2055469306 abstract "No AccessJournal of UrologyAdult Urology1 Aug 2013Low Risk of Sexual Dysfunction After Transection and Nontransection Urethroplasty for Bulbar Urethral Stricture Teresa O. Ekerhult, Klas Lindqvist, Ralph Peeker, and Lars Grenabo Teresa O. EkerhultTeresa O. Ekerhult More articles by this author , Klas LindqvistKlas Lindqvist More articles by this author , Ralph PeekerRalph Peeker More articles by this author , and Lars GrenaboLars Grenabo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.075AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Open urethroplasty is the preferred treatment for recurrent bulbar urethral stricture. However, there are still some controversies regarding the optimal technique and the consequences of transecting the urethra in terms of sexual dysfunction, such as erectile dysfunction, penile shortening, impaired glans filling, decreased glans sensibility and ejaculatory function. We performed a retrospective analysis with long-term followup of anastomotic and substitution onlay urethroplasty in bulbar strictures with an emphasis on postoperative sexual function. Materials and Methods: A total of 169 patients with bulbar stricture were treated with urethroplasty via the onlay technique (75) or resection followed by end-to-end anastomosis (94) during 1999 to 2009. Mean followup in the transection and onlay groups was 41 and 69 months, respectively (range 12 to 132). All patients were asked verbally about sexual function during followup. Failure was defined as the need for new surgical intervention. Results: Erectile dysfunction developed in 1 patient (1%) per group. In the transection group 5 patients (5%), including 4 with longer and more distal strictures, had penile shortening/downward angulation. However, this did not interfere with sexual ability during intercourse. No patient reported impaired glans or ejaculatory function. The success rate in the transection and onlay groups was 91% and 71%, respectively. Conclusions: Transection with resection and end-to-end anastomosis is a good method for bulbar stricture with a low rate of sexual dysfunction and a high success rate postoperatively. To avoid penile angulation/shortening, it might be wise to use the onlay technique for longer and distal strictures. References 1 : Internal urethrotomy in the management of anterior urethral strictures: long-term followup. J Urol1996; 156: 73. Link, Google Scholar 2 : Treatment of male urethral strictures: is repeated dilation or internal urethrotomy useful?. J Urol1998; 160: 356. 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Link, Google Scholar Department of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden© 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByAnderson K, Vanni A, Erickson B, Myers J, Voelzke B, Breyer B, Broghammer J, Buckley J, Zhao L, Smith T, Alsikafi N, Rourke K and Elliott S (2022) Defining Success after Anterior Urethroplasty: An Argument for a Universal Definition and Surveillance ProtocolJournal of Urology, VOL. 208, NO. 1, (135-143), Online publication date: 1-Jul-2022.Chapman D, Cotter K, Johnsen N, Patel S, Kinnaird A, Erickson B, Voelzke B, Buckley J and Rourke K (2019) Nontransecting Techniques Reduce Sexual Dysfunction after Anastomotic Bulbar Urethroplasty: Results of a Multi-Institutional Comparative AnalysisJournal of Urology, VOL. 201, NO. 2, (364-370), Online publication date: 1-Feb-2019. Volume 190Issue 2August 2013Page: 635-638 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.Keywordsurethrapostoperative complicationssexual dysfunction, physiologicalurethral stricturepenisMetricsAuthor Information Teresa O. Ekerhult More articles by this author Klas Lindqvist More articles by this author Ralph Peeker More articles by this author Lars Grenabo More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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- W2055469306 title "Low Risk of Sexual Dysfunction After Transection and Nontransection Urethroplasty for Bulbar Urethral Stricture" @default.
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