Ramírez Patricia, Martínez-Salamanca Juan Ignacio, Moncada Ignacio, del Portillo Luis, Linares Estefanía, Rodríguez-Izquierdo Marta, Areche Jennifer, Carballido Joaquín
Servicio y Catedra de Urologia. Area de Medicina Sexual. Hospital Universitario Puerta de Hierro-Majadahonda. Madrid.Spain.
Servicio y Catedra de Urología. Area de Medicina Sexual. Hospital Universitario Puerta de Hierro-Majadahonda. Madrid.Spain.
Arch Esp Urol. 2014 Jan-Feb;67(1):142-51.
Urethral stenosis is a complex pathology that severely affects the quality of life of patients who suffer it. There are multiple therapeutic options, the main objective of which is to eliminate obstruction and improve symptoms, and consequently maintain or improve the quality of life of the patient. The objective of this article is to perform a systematic review of the literature with the aim to evaluate the results regarding the sexual sphere after urethral surgery.
We performed a bibliographic search in PubMed, identifying studies that analyzed the results in sexual function after various types of urethroplasties. Preference have been given to those articles evaluating sexual function both preoperative and postoperative, to determine the degree of involvement conditioned by surgery. Fourteen articles have been selected, including those making reference to sexual function (sexual desire, erectile and ejaculatory function).
A total of 14 studies were selected to perform the analysis; they were divided into two groups depending of the perspective they have to evaluate results: Use of validated tests for data collection before and after surgery and a second group analyzing more qualitative features of the stenosis making the evaluation of results this way. Site of stenosis is not uniformly distributed in these articles, with predominance of those performing anterior urethra surgery. They have a comprehensive analysis of the various features that may affect directly or indirectly the result of the operation both in the short and long term.
Most articles conclude that specific standardized tools are necessary for this type of pathology, with the aim of obtain results that are more adjusted to urethral surgery. Patient perception of the results of urethroplasty is a parameter that has gained great importance lately. Globally the results of postoperative sexual function are very satisfactory, mainly in young patients. It is important to globally analyze the results and surgical techniques currently in use with the aim to minimize deleterious effects on sexual function; moreover taking into account that the objective of surgery is to try to improve the patient's quality of life.
尿道狭窄是一种复杂的病理状况，严重影响患者的生活质量。有多种治疗选择，其主要目标是消除梗阻并改善症状，从而维持或提高患者的生活质量。本文的目的是对文献进行系统综述，以评估尿道手术后性功能方面的结果。
我们在PubMed上进行了文献检索，确定了分析各种类型尿道成形术后性功能结果的研究。优先选择那些术前和术后均评估性功能的文章，以确定手术造成的影响程度。共筛选出14篇文章，包括那些提及性功能（性欲、勃起和射精功能）的文章。
共选择了14项研究进行分析；根据评估结果的角度将它们分为两组：一组使用经过验证的测试在手术前后收集数据，另一组则分析狭窄的更多定性特征，以此方式评估结果。这些文章中狭窄部位分布不均，以前尿道手术为主。它们对可能直接或间接影响手术短期和长期结果的各种特征进行了全面分析。
大多数文章得出结论，对于这类病理状况，需要特定的标准化工具，以便获得更适合尿道手术的结果。患者对尿道成形术结果的认知是一个近来变得非常重要的参数。总体而言，术后性功能结果非常令人满意，主要是在年轻患者中。全面分析目前使用的结果和手术技术以尽量减少对性功能的有害影响很重要；此外要考虑到手术的目标是努力提高患者的生活质量。
