Patient-reported Sexual Function After Oral Mucosa Graft Urethroplasty for Hypospadias

Nelson, Caleb P.; Bloom, David A.; Kinast, Robert; Wei, John T.; Park, John M.

doi:10.1016/j.urology.2005.05.057

Cited by 43 publications

(17 citation statements)

References 14 publications

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“…To mitigate this limitation, we were purposely broad in the initial billing codes included, and then manually screened patients to exclude them from the final study population. Due to the retrospective nature of our study, we were also limited in the outcome data that could be collected from the patient record; the same outcome measures were not necessarily reported in all encounters for each patient, and we were unable to systematically assess patient-reported outcomes such as quality of life (QOL) and sexual function, which have only been comprehensively reported by one previous group [14,24]. Although these studies suggest that QOL and sexual function was favorable among patients at a single center, the incorporation of patient-reported outcome data from additional centers into future reports is paramount.…”

Section: Discussionmentioning

confidence: 99%

Use of buccal mucosa grafts for urethral reconstruction in children: a retrospective cohort study

et al. 2014

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BackgroundThe use of buccal mucosa grafts (BMG) for urethral reconstruction has increased in popularity over the last several decades. Our aim was to describe our institutional experience with and outcomes after BMG urethroplasty.MethodsWe conducted a retrospective cohort study of boys undergoing BMG urethral reconstruction. Preoperative and perioperative characteristics and postoperative outcomes were evaluated.ResultsTwenty-nine patients (median age 8.2 years) underwent BMG urethroplasty from 1995–2012. Of the 10 patients undergoing 1-stage repairs, 6 had tubularized grafts, the last of which was performed in 2000 due to an unacceptably high revision rate (100%). A 2-stage approach was elected for 19 patients (median follow-up 21.3 months). Complications including stricture, fistula, or chordee were seen in 60% of patients completing both stages and 32% required ≥1 revision. However, 71% of 2-stage patients were free of significant problems at last follow-up.ConclusionsWe found BMG to be a reasonable option for use in complex pediatric urethral reconstruction. Tubularized grafts had poor results, and we no longer use them. We favor a 2-stage approach for all patients except those with “simple” non-hypospadiac strictures. Although revision procedures were not uncommon, the majority of patients were ultimately free of long-term problems.

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Section: Discussionmentioning

confidence: 99%

Use of buccal mucosa grafts for urethral reconstruction in children: a retrospective cohort study

et al. 2014

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“…The reasons may include stricture of the urethra after surgery, the formation of diverticuli, insufficient supporting spongiosum tissue in the re‐constructed urethra (Darling et al. , 1990; Nelson et al. , 2005).…”

Section: Discussionmentioning

confidence: 99%

Psychosexual adjustment and age factors in 130 men undergone hypospadias surgery in a Chinese hospital

et al. 2010

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The study investigated the psychosexual status and sexual function in adults who had hypospadias surgery at different ages. A detailed questionnaire was mailed to 130 patients who underwent hypospadias surgery between January 1988 and December 2007, and 50 healthy males who served as the control group. The patients were divided into three groups based on their age at which surgery was completed: group A (n=32; <10 years); group B (n=45; 10-18 years); and group C (n=53; >18 years). The Zung Self-Rating Anxiety Scale and The Zung Self-Rating Depression Scale were used to assess psychosexual status; a designed questionnaire and the International Index of Erectile Function-5 were used to assess sexual function. The incidence of anxiety and depression was significantly higher in patients than that in controls (P < 0.001), and was correlated with the age at which surgery was completed. The length and circumference of penises in patients were shorter than those of control groups with statistically significant differences (P < 0.01). There were no significant differences between patients and controls regarding libido strength, overall sexual satisfaction and erectile function (P > 0.05). In conclusion, difference existed in certain aspects of psychosexual and penile development between patients and controls. Hypospadias surgery should be performed early.

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“…Studies by Palminteri et al, 12 Shenfeld et al, 13 Kessler et al, 14 Anger et al 15 and Nelson et al 16 concluded that there …”

Section: Discussionmentioning

confidence: 98%

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

Mondal

Bandyopadhyay

Mandal

et al. 2016

Medical Journal Armed Forces India

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m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 2 ( 2 0 1 6 ) 3 4 4 -3 4and Pharmacological Colour Doppler Ultrasonography (PCDU) for a period of 6 months.Results: Preoperative prevalence of ED assessed by IIEF was found to be 82.8%. Postoperative incidence of ED was 28.5% and new onset ED is 50%. There was no significant change in IIEF values and values of peak systolic velocity and resistive index of cavernosal artery over time. Conclusion:There is significant prevalence of ED with urethral stricture. Despite significant postoperative incidence of ED after urethroplasty, the surgical procedure per se does not result in ED.#

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Patient-reported Sexual Function After Oral Mucosa Graft Urethroplasty for Hypospadias

Cited by 43 publications

References 14 publications

Use of buccal mucosa grafts for urethral reconstruction in children: a retrospective cohort study

Use of buccal mucosa grafts for urethral reconstruction in children: a retrospective cohort study

Psychosexual adjustment and age factors in 130 men undergone hypospadias surgery in a Chinese hospital

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

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