Division of Urology, University of Texas Health Science Center, McGovern Medical School at Houston, Houston, TX, USA; Department of Surgery, University of Texas, MD Anderson Cancer Center, Houston, TX, USA.
Division of Urology, University of Texas Health Science Center, McGovern Medical School at Houston, Houston, TX, USA; Department of Surgery, University of Texas, MD Anderson Cancer Center, Houston, TX, USA.
Sex Med Rev. 2018 Jul;6(3):492-503. doi: 10.1016/j.sxmr.2017.09.002. Epub 2017 Nov 3.
Urethral stricture disease accounts for 5,000 hospitalizations and 1.5 million office visits per year. Urethral reconstruction has become more commonplace with the recognition of the poor long-term success of the endoscopic management of stricture disease. Sexual dysfunction related to the surgical management of urethral strictures is an under-recognized sequela.
To characterize and elucidate the various factors that contribute to sexual dysfunction after urethroplasty and hypospadias reconstruction to improve surgical decision making and patient counseling.
A Medline PubMed search was used to identify articles of interest related to sexual dysfunction and urethral stricture disease. The following were included in the search for articles of interest: "urethroplasty and sexual dysfunction," "urethral stricture and erectile dysfunction," "urethroplasty and ejaculatory dysfunction," and "sexual function and hypospadias."
Rates and types of sexual dysfunction after urethral reconstructive surgery.
Urethral reconstructive surgery has the potential to affect many domains of sexual function and thus negatively affect quality of life for patients with urethral stricture disease and hypospadias. These domains include erectile function, ejaculatory function, penile shortening, penile curvature, and altered penile sensation. The etiology, location, length and type of urethral stricture, and importantly the reconstructive technique have different repercussions on sexual function.
Sexual dysfunction after urethral reconstruction is underappreciated and has a significant consequence on quality of life. Thus, it is important to recognize these sequelae and counsel patients accordingly. Benson CR, Hoang L, Clavell-Hernández J, Wang R. Sexual Dysfunction in Urethral Reconstruction: A Review of the Literature. Sex Med Rev 2018;6:492-503.
尿道狭窄疾病每年导致 5000 次住院和 150 万次门诊就诊。随着人们认识到内镜下治疗狭窄疾病的长期成功率较差，尿道重建术变得更为常见。与尿道狭窄手术治疗相关的性功能障碍是一种被低估的后遗症。
描述和阐明导致尿道成形术和尿道下裂重建后性功能障碍的各种因素，以改善手术决策和患者咨询。
通过 Medline PubMed 搜索，确定与性功能障碍和尿道狭窄疾病相关的感兴趣的文章。搜索的相关文章包括：“尿道成形术与性功能障碍”、“尿道狭窄与勃起功能障碍”、“尿道成形术与射精功能障碍”和“性功能与尿道下裂”。
尿道重建术后性功能障碍的发生率和类型。
尿道重建术有可能影响性功能的许多方面，从而对尿道狭窄疾病和尿道下裂患者的生活质量产生负面影响。这些方面包括勃起功能、射精功能、阴茎缩短、阴茎弯曲和阴茎感觉改变。尿道狭窄的病因、位置、长度和类型，以及重要的重建技术，对性功能有不同的影响。
尿道重建术后的性功能障碍被低估了，对生活质量有重大影响。因此，认识到这些后遗症并相应地为患者提供咨询是很重要的。Benson CR、Hoang L、Clavell-Hernández J、Wang R. 尿道重建中的性功能障碍：文献综述。性医学评论 2018;6:492-503。
