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Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty.

Publication ,  Journal Article
Theisen, KM; Soubra, A; Grove, S; Vanni, AJ; Erickson, BA; Breyer, BN; Myers, JB; Voelzke, B; Broghammer, JA; Rourke, KF; Alsikafi, NF ...
Published in: Urology
July 2021

To determine whether ejaculatory dysfunction (EjD) and post-void dribbling (PVD) after urethroplasty are associated, providing evidence for a common etiology.We 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.A 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<0.0001); this association remained significant after penile repairs (p=0.01), bulbar repairs (p<0.0007), and bulbar anastomotic repairs (p=0.002), but not after bulbar augmentation repairs (p=0.052). EjD and PVD occurred at similar rates after penile and bulbar urethroplasty. The rate of EjD was similar after bulbar augmentation and bulbar anastomotic urethroplasties, but PVD was more common after bulbar augmentation (70% vs. 52%) (p = 0.0001).EjD and PVD after anterior urethroplasty are significantly associated with one another, supporting the theory of a common etiology. High rates after penile repairs argue against a bulbospongiosus muscle damage etiology, and high rates after anastomotic repairs argue against graft sacculation. More work is needed to better understand and prevent symptoms.

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Published In

Urology

DOI

EISSN

1527-9995

ISSN

0090-4295

Publication Date

July 2021

Volume

153

Start / End Page

320 / 326

Related Subject Headings

  • Urology & Nephrology
  • Urologic Surgical Procedures, Male
  • Urination
  • Urinary Incontinence, Urge
  • Urethra
  • Sexual Dysfunction, Physiological
  • Prospective Studies
  • Postoperative Complications
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Theisen, K. M., Soubra, A., Grove, S., Vanni, A. J., Erickson, B. A., Breyer, B. N., … Elliott, S. P. (2021). Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty. Urology, 153, 320–326. https://doi.org/10.1016/j.urology.2021.04.016
Theisen, Katherine M., Ayman Soubra, Shawn Grove, Alex J. Vanni, Bradley A. Erickson, Benjamin N. Breyer, Jeremy B. Myers, et al. “Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty.Urology 153 (July 2021): 320–26. https://doi.org/10.1016/j.urology.2021.04.016.
Theisen KM, Soubra A, Grove S, Vanni AJ, Erickson BA, Breyer BN, et al. Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty. Urology. 2021 Jul;153:320–6.
Theisen, Katherine M., et al. “Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty.Urology, vol. 153, July 2021, pp. 320–26. Epmc, doi:10.1016/j.urology.2021.04.016.
Theisen KM, Soubra A, Grove S, Vanni AJ, Erickson BA, Breyer BN, Myers JB, Voelzke B, Broghammer JA, Rourke KF, Alsikafi NF, Buckley JC, Peterson AC, Elliott SP. Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty. Urology. 2021 Jul;153:320–326.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

ISSN

0090-4295

Publication Date

July 2021

Volume

153

Start / End Page

320 / 326

Related Subject Headings

  • Urology & Nephrology
  • Urologic Surgical Procedures, Male
  • Urination
  • Urinary Incontinence, Urge
  • Urethra
  • Sexual Dysfunction, Physiological
  • Prospective Studies
  • Postoperative Complications
  • Middle Aged
  • Male