Patient-Reported Sexual Function After Staged Penile Urethroplasty

Darshan P Patel; Sean P Elliott; Bryan B Voelzke; Bradley A Erickson; Christopher D McClung; Angela P Presson; Chong Zhang; Jeremy B Myers

doi:10.1016/j.urology.2015.04.055

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Patient-Reported Sexual Function After Staged Penile Urethroplasty

Journal article

Open access

Peer reviewed

Patient-Reported Sexual Function After Staged Penile Urethroplasty

Darshan P Patel, Sean P Elliott, Bryan B Voelzke, Bradley A Erickson, Christopher D McClung, Angela P Presson, Chong Zhang and Jeremy B Myers

Urology (Ridgewood, N.J.), Vol.86(2), pp.395-400

08/2015

DOI: 10.1016/j.urology.2015.04.055

PMCID: PMC5595549

PMID: 26199158

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Abstract

To evaluate sexual function after staged penile urethroplasty with oral mucosal graft (OMG). We identified men with completed staged penile urethroplasty with OMG from the Trauma and Urologic Reconstruction Network of Surgeons database between January 1, 2010 and May 1, 2014. Our primary outcome was change in total Sexual Health Inventory for Men (SHIM) and total Male Sexual Health Questionnaire Ejaculatory Domain (MSHQ-EjD) Short Form at baseline vs after the second stage of the procedure. Second, we assessed subjective changes in penile curvature, length, and sensation. Thirty-three patients were included with a mean age of 45 years and mean body mass index of 27.6 kg/m(2). Urethral strictures arose from failed hypospadias repair in 52% and lichen sclerosus in 27%. Fifty-two percent of patients reported a previous urethroplasty. The median follow-up time between the second stage procedure and postoperative questionnaires was 6.3 months (interquartile range: 3.5-13.3). There was no significant change in the total SHIM (Δ0.64, 95% confidence interval [CI]: -3.00∼1.72) and MSHQ-EjD (Δ1.55, 95% CI: -1.53∼4.63) scores preoperatively vs postoperatively. In addition, 32% reported improved and 52% no change in satisfaction with sexual intercourse (SHIM Q5). Forty percent of patients reported reduced and 45% no change in bother with ejaculation after surgery (MSHQ-EjD Q4). Men reported new penile curvature (23%), loss of penile length (55%), and altered penile sensitivity (45%) after surgery. Patients undergoing staged penile urethroplasty with OMG are likely to have minimal changes in erectile and ejaculatory function postoperatively, although many may experience new penile curvature, reduced penile length, and/or reduced penile sensitivity.

Urethra - surgery

Prospective Studies

Humans

Middle Aged

Sexuality - physiology

Urologic Surgical Procedures, Male - methods

Male

Mouth Mucosa - transplantation

Ejaculation - physiology

Urethral Stricture - surgery

Penis

Diagnostic Self Evaluation

Surveys and Questionnaires

Penile Erection - physiology

Details

Title: Subtitle: Patient-Reported Sexual Function After Staged Penile Urethroplasty
Creators: Darshan P Patel - Division of Urology, Department of Surgery, The Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City, UT. Electronic address: darshan.patel@utah.edu
Sean P Elliott - Department of Urology, University of Minnesota, Minneapolis, MN
Bryan B Voelzke - Department of Urology, University of Washington, Seattle, WA
Bradley A Erickson - Department of Urology, University of Iowa Carver College of Medicine, Iowa City, IA
Christopher D McClung - Department of Urology, Ohio State University Wexner Medical Center, Columbus, OH
Angela P Presson - Division of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, UT
Chong Zhang - Division of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, UT
Jeremy B Myers - Division of Urology, Department of Surgery, The Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City, UT
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.86(2), pp.395-400
DOI: 10.1016/j.urology.2015.04.055
PMID: 26199158
PMCID: PMC5595549
NLM abbreviation: Urology
ISSN: 0090-4295
eISSN: 1527-9995
Publisher: United States
Grant note: KL2 RR025015 / NCRR NIH HHS 8UL1TR000105 / NCATS NIH HHS UL1 TR000105 / NCATS NIH HHS KL2RR025015 / NCRR NIH HHS UL1RR025764 / NCRR NIH HHS KL2 TR002317 / NCATS NIH HHS UL1 RR025764 / NCRR NIH HHS
Language: English
Date published: 08/2015
Academic Unit: Urology
Record Identifier: 9984051769802771

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