Erectile function after anterior urethroplasty
Erectile function after anterior urethroplasty
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DOI：
10.1016/s0022-5347(05)65549-8
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发表时间：
2001-12-01
影响因子：
6.6
通讯作者：
Armenakas, N
中科院分区：
文献类型：
--
作者：
Coursey, JW;Morey, AF;Armenakas, N
目的：我们确定了前尿道成形术对男性性功能的影响。材料和方法：一个有效的问卷调查邮寄给200名男性接受前尿道成形术，以评估术后性功能。问题涉及勃起阴茎长度和角度的变化、患者对勃起的满意度、术前和术后性交频率以及性伴侣注意到的勃起变化。结果分层的尿道重建方法，即吻合，颊粘膜移植，阴茎皮瓣和所有其他人，并与那些在一个类似的组的男子谁接受包皮环切术ONLY.RESULTS：在200名男子接受尿道成形术152谁是17至83岁（平均年龄45.7）完成了问卷调查。平均随访时间为36个月（范围3 - 149）。总的来说，尿道成形术和包皮环切术后性问题的发生率相似。阴茎皮瓣尿道成形术的性功能障碍发生率略高于其他术式（p >0.05）。狭窄较长的男性最有可能报告勃起功能和阴茎长度的重大变化（p
Purpose: We ascertained the impact of anterior urethroplasty on male sexual function.Materials and Methods: A validated questionnaire was mailed to 200 men who underwent anterior urethroplasty to evaluate postoperative sexual function. Questions addressed the change in erect penile length and angle, patient satisfaction with erection, preoperative and postoperative coital frequency, and change in erection noted by the sexual partner. Results were stratified by the urethral reconstruction method, namely anastomosis, buccal mucosal graft, penile flap and all others, and compared with those in a similar group of men who underwent circumcision only.Results: Of the 200 men who underwent urethroplasty 152 who were 17 to 83 years old (mean age 45.7) completed the questionnaire. Average followup was 36 months (range 3 to 149). Overall there was a similar incidence of sexual problems after urethroplasty and circumcision. Penile skin flap urethroplasty was associated with a slightly higher incidence of impaired sexual function than other procedures (p >0.05). Men with a longer stricture were most likely to report major changes in erectile function and penile length (p