1. Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty
- Author
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Alex J. Vanni, Katherine M. Theisen, Andrew C. Peterson, Bradley A. Erickson, Jill C. Buckley, Keith Rourke, Ayman Soubra, Jeremy B. Myers, Joshua A. Broghammer, Shawn Grove, Sean P. Elliott, Bryan B. Voelzke, Benjamin N. Breyer, and Nejd F. Alsikafi
- Subjects
Male ,Adult ,medicine.medical_specialty ,Urologic Surgical Procedures, Male ,Sexual Dysfunction ,Anastomosis ,Urethral stricture ,Physiological ,Urology ,Urethroplasty ,medicine.medical_treatment ,media_common.quotation_subject ,Clinical Sciences ,030232 urology & nephrology ,Post-void dribbling ,Urination ,Sacculation ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Urethra ,Clinical Research ,Surgical ,medicine ,Humans ,Ejaculation ,Prospective Studies ,Urge ,media_common ,business.industry ,Anastomosis, Surgical ,Urinary Incontinence, Urge ,Middle Aged ,Urology & Nephrology ,medicine.disease ,Surgery ,Sexual Dysfunction, Physiological ,Urinary Incontinence ,030220 oncology & carcinogenesis ,Cohort ,Etiology ,Urologic Surgical Procedures ,medicine.symptom ,business - Abstract
ObjectiveTo determine whether ejaculatory dysfunction (EjD) and post-void dribbling (PVD) after urethroplasty are associated, providing evidence for a common etiology.MethodsWe reviewed a prospectively maintained database for first-time, anterior urethroplasties. One item from the Male Sexual Health Questionnaire (MSHQ) assessed EjD: "How would you rate the strength or force of your ejaculation". One item from the Urethral Stricture Surgery Patient-Reported Outcome Measure (USS-PROM) assessed PVD: "How often have you had slight wetting of your pants after you had finished urinating?". The frequency of symptoms was compared after penile vs. bulbar repairs, and anastomotic versus augmentation bulbar repairs. Associations were assessed with chi-square.ResultsA total of 728 men were included. Overall, postoperative EjD and PVD were common; 67% and 66%, respectively. There was a significant association between EjD and PVD for the whole cohort (p
- Published
- 2021