Comparison of quality of life and sexual function before and after anterior urethral reconstruction surgery

Authors

  • Alec Anceno Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Pedro A. Alvarado-Bahena Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Jorge G. Morales-Montor Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Patricia Vidal-Vazquez Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • César E. Venegas-Yañez Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Ricardo Cervantes-Zorrilla Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • César A. Silva-Mendoza Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Marco A. Ascencio-Martínez Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Mauricio Cantellano-Orozco Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Carlos Martínez-Arroyo Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
  • Carlos Pacheco-Gahbler Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20243550

Keywords:

Anterior urethral stricture, IPSS, IIEF-5 and urethral surgery

Abstract

The study assessed the impact of anterior urethral reconstruction surgery on quality of life and sexual function in 22 male patients with anterior urethral strictures. The mean age was 51 years (range: 25–88), and strictures were localized in the bulbar urethra, penile urethra, or both, with an average stricture length of 4.2 cm. Etiologies included trauma, iatrogenic causes, infections, and idiopathic factors. Surgical techniques included end-to-end urethroplasty, dorsal onlay oral mucosa graft urethroplasty, and combined dorsal graft with ventral augmentation. Significant postoperative improvements were noted in urinary symptoms, with IPSS scores reducing from severe to mild in all patients (p<0.001) and Qmax increasing from a mean of 3.23 ml/s to 19.46 ml/s (p<0.001). Preoperative quality of life, evaluated using EQ-5D and EQ-VAS, showed significant enhancement, with EQ-VAS scores improving from 38.77 to 77.05 (p<0.001). Sexual function, assessed via IIEF-5, remained stable, with no significant postoperative decline (p=0.463), highlighting the preservation of erectile function. USS-PROM evaluations revealed a substantial reduction in symptom severity and improved patient satisfaction. The findings demonstrate that anterior urethral reconstruction effectively restores urinary function and improves quality of life without compromising sexual health, establishing it as a safe and reliable treatment for anterior urethral strictures.

 

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Published

2024-11-27

Issue

Vol. 11 No. 12 (2024): December 2024

Section

Case Series