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16. Erectile Dysfunction in Male Patients of Urethral Stricture Following Urethroplasty
Muhammad Owais Rafiq1, Muhammad Ibrahim Shaikh2, Raj Kumar1, Waqas Ahmed Memon1, Zubda Malik1 and Ali Raza1
ABSTRACT
Objective: To determine the frequency of erectile dysfunction in patients with urethral stricture following urethroplasty operation.
Study Design: A case-based study.
Place and Duration of Study: This study was conducted at the Department of Urology, Liaquat National Hospital, Karachi from November 2019 to April 2020.
Materials and Methods: A total of 79 sexually active males with urethral stricture on X-Ray urethrogram requiring urethroplasty were recruited in this study. In all of these patients urethroplasty was performed. Patient was discharged on the second postoperative day with Foley’s catheter and follow-up after 2 weeks for removal of Foley’s catheter. After successful voiding patients was followed after 12 weeks for erectile function. Final outcome i.e. erectile dysfunction was observed after 12 weeks of surgery by using IIEF score. All data was recorded in predesigned proforma.
Results: The average of the age was 37.11±10.02 years. Frequency of erectile dysfunction in patients with urethral stricture following urethroplasty was 34.18% (27 of 79). Rate of erectile dysfunction in patients with urethral stricture was statistically significant among age groups of the patients (p=0.036).
Conclusion: The data indicate that ED occurs after urethral reconstruction for the repair of urethral strictures. Location of the stricture and the age of patients were identified as the risk factors for ED. The posterior urethral stricture have a particularly strong association with erectile dysfunction.
Key Words: Urethral stricture, Erectile dysfunction, Urethroplasty
Citation of article: Rafiq MO, Shaikh MI, Kumar R, Memon WA, Malik Z, Raza A. Erectile Dysfunction in Male Patients of Urethral Stricture Following Urethroplasty. Med Forum 2022;33(8):69-72.