Department of Urology, University of South Florida, Tampa General Circle, STC Floor 6, Tampa, FL, 33606, USA.
Curr Urol Rep. 2021 Feb 8;22(4):19. doi: 10.1007/s11934-021-01039-9.
The goal of this paper was to evaluate the impact on erectile and ejaculatory function after anterior and posterior urethroplasty.
With a rise in the use of urethroplasty, its impact on sexual function has come into question. For anterior urethroplasties, some degree of erectile dysfunction is common, but this tends to be transient, with most patients having a resolution of any de novo dysfunction by 12 months. Patients with posterior urethral strictures have a very high rate of erectile dysfunction prior to surgery and may show improvement after urethroplasty. Ejaculatory function tends to improve in patients due to alleviation of obstruction while some patients notice degradation in force of ejaculation. While urethroplasty has a minimal permanent effect on sexual function for most patients, there are some patients who notice improvement and others worsening. Patients should be counseled on these risks prior to urethroplasty.
本文旨在评估前尿道和后尿道成形术后对勃起和射精功能的影响。
随着尿道成形术应用的增加，其对性功能的影响受到质疑。对于前尿道成形术，一定程度的勃起功能障碍是常见的，但这种情况往往是短暂的，大多数患者在 12 个月时新出现的勃起功能障碍会得到解决。患有后尿道狭窄的患者在手术前勃起功能障碍的发生率非常高，尿道成形术后可能会有所改善。由于梗阻的缓解，射精功能在患者中趋于改善，而一些患者则注意到射精力度下降。尽管尿道成形术对大多数患者的性功能仅有轻微的永久影响，但有些患者注意到改善，而有些患者则注意到恶化。在进行尿道成形术前，应向患者说明这些风险。
