PD22-05 TO TRANSECT OR NOT—A RANDOMIZED SCANDINAVIAN STUDY OF SEXUAL DYSFUNCTION AFTER URETHROPLASTY

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Urethral Reconstruction (including Stricture, Diverticulum) II (PD22)1 Sep 2021PD22-05 TO TRANSECT OR NOT—A RANDOMIZED SCANDINAVIAN STUDY OF SEXUAL DYSFUNCTION AFTER URETHROPLASTY Ole Jacob Nilsen, Teresa Ekerhult, Beata Grabowska, and Jukka Sairanen NilsenOle Nilsen More articles by this author , EkerhultTeresa Ekerhult GrabowskaBeata Grabowska SairanenJukka View All Author Informationhttps://doi.org/10.1097/JU.0000000000002011.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The most common methods bulbar urethral stricture surgery are resection primary anastomosis or augmentation with onlay buccal mucosal graft. effects on sexual function these procedures is not studied in randomized trials, but penile shortening, impairment erection life been reported. Scandinavian Urethroplasty study was initiated compare the two techniques regard erectile dysfunction complications. METHODS: a multicenter, prospective, randomized, controlled trial four participating centers: Oslo (Norway), Helsinki (Finland), Gothenburg Örebro (Sweden). Patients non-traumatic strictures ≤2 cm, estimated urethrography endoscopy, without previous surgery, were included. Before patients completed IIEF-5 questionnaire. Outcomes recorded at 3 months 12 months. complications questionnaire (PCQ). PCQ consists five questions: worsening ejaculation (Q1), glans tumescence (Q2), sensation (Q3), length (Q4) change direction (Q5). Start any drug therapy for recurrence recorded. RESULTS: From 2015 2018, 151 end-to-end augmentation. baseline characteristics including age, BMI, preoperative flow/residual scores similar both groups. In group, larger proportion reported (Q1) than graft group 3-month visit, who one more Q2 Q5 significantly higher visits. total showed no differences between groups follow up. Pharmacological treatment six postoperatively. Nineteen recurred (12.9%), 9 10 group. CONCLUSIONS: To our knowledge first prospective comparing excision graft, where procedure rate dysfunction. There major These findings be taken into account while counseling before urethroplasty. rates after year Source Funding: Participating institutions © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e381-e382 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...