AUA 2019: Stricture Location and Type of Urethroplasty on Erectile Function

Chicago, IL ( This was a retrospective review of urethroplasty data from 8 participating centers in the Trauma and Urologic Reconstruction Network of Surgeons. The authors hypothesized that more proximal stricture locations would be associated with erectile dysfunction. They excluded men with prior pelvic radiation or pelvic fracture urethral injuries. Erectile function was measured using the Sexual Health Inventory for Men (SHIM) pre- and post- operatively. Stricture location was classified as membranous, proximal bulbar, or mid/distal bulbar. Type of urethroplasty was classified as anastomotic or other.
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There were 1137 patients who met inclusion criteria. Median age was 45.1 years (IQR 32.9-56.7). Median follow up time to first and last post-op visits were 3.7 (IQR 3.4-4.3) and 12.8 (IQR 6.3-24.1) months, respectively. The mean SHIM scores stratified by stricture location and type of repair are listed in Table 1. Patients had mild preoperative ED without a significant change in erectile function at time of last follow up visit. Of the 365 patients with more than one post-operative visit, 51 patients (14.0%) had a clinically significant worsening of erectile function while 26 patients (7.1%) had an improvement in erectile function.

The authors concluded that urethral stricture patients have mild baseline erectile dysfunction. Stricture location or anastomotic repairs are not associated with worsening erectile function.

Presented by: Jonathan Wingate, MD, The University of Washington, Seattle, Washington

Co-Authors: Sean Elliott, Minneapolis, MN, Alex Vanni, Burlington, MA, Bradley Erickson, Iowa City, IA, Jeremy Myers, Salt Lake City, UT, Benjamin Breyer, San Francisco, CA, Nejd Alsikafi, Gurnee, IL, Jill Buckley, San Diego, CA, Bryan Voelzke, Seattle, WA

Written by: Bilal Farhan, MD, Clinical Instructor, Female Urology and Voiding Dysfunction, Department of Urology, University of California, Irvine @BilalfarhanMD at the American Urological Association's 2019 Annual Meeting (AUA 2019), May 3 – 6, 2019 in Chicago, Illinois