Journal article
Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty
Urology (Ridgewood, N.J.), Vol.153, pp.320-326
07/2021
DOI: 10.1016/j.urology.2021.04.016
PMID: 33901530
Abstract
To determine whether ejaculatory dysfunction (EjD) and post-void dribbling (PVD) after urethroplasty are associated, providing evidence for a common etiology.
We reviewed a prospectively maintained database for first-time, anterior urethroplasties. One item from the Male Sexual Health Questionnaire (MSHQ) assessed EjD: "How would you rate the strength or force of your ejaculation". One item from the Urethral Stricture Surgery Patient-Reported Outcome Measure (USS-PROM) assessed PVD: "How often have you had slight wetting of your pants after you had finished urinating?". The frequency of symptoms was compared after penile vs. bulbar repairs, and anastomotic versus augmentation bulbar repairs. Associations were assessed with chi-square.
A total of 728 men were included. Overall, postoperative EjD and PVD were common; 67% and 66%, respectively. There was a significant association between EjD and PVD for the whole cohort (p<0.0001); this association remained significant after penile repairs (p=0.01), bulbar repairs (p<0.0007), and bulbar anastomotic repairs (p=0.002), but not after bulbar augmentation repairs (p=0.052). EjD and PVD occurred at similar rates after penile and bulbar urethroplasty. The rate of EjD was similar after bulbar augmentation and bulbar anastomotic urethroplasties, but PVD was more common after bulbar augmentation (70% vs. 52%) (p = 0.0001).
EjD and PVD after anterior urethroplasty are significantly associated with one another, supporting the theory of a common etiology. High rates after penile repairs argue against a bulbospongiosus muscle damage etiology, and high rates after anastomotic repairs argue against graft sacculation. More work is needed to better understand and prevent symptoms.
Details
- Title: Subtitle
- Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty
- Creators
- Katherine M Theisen - Mayo Clinic Rochester, MNAyman Soubra - University of MinnesotaShawn Grove - University of MinnesotaAlex J Vanni - Lahey Hospital and Medical CenterBradley A Erickson - University of IowaBenjamin N Breyer - University of California, San FranciscoJeremy B Myers - University of UtahBryan Voelzke - Spokane Urology Spokane, WA.Joshua A Broghammer - University of KansasKeith F Rourke - University of AlbertaNejd F Alsikafi - Uropartners of Chicago Chicago, IL.Jill C Buckley - University of California San DiegoAndrew C Peterson - Duke UniversitySean P Elliott - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.153, pp.320-326
- DOI
- 10.1016/j.urology.2021.04.016
- PMID
- 33901530
- NLM abbreviation
- Urology
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health, award: Funding-1UO1DK097776-01, R21DK115945-01, U01DK082344-11, U01DK097772-07
- Language
- English
- Date published
- 07/2021
- Academic Unit
- Urology
- Record Identifier
- 9984319974502771
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