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Evaluation of erectile function after urethral reconstruction: a prospective study / 亚洲男科学杂志(英文版)
Asian Journal of Andrology ; (6): 209-214, 2009.
Article Dans Anglais | WPRIM | ID: wpr-284702
ABSTRACT
We conducted a prospective study of erectile dysfunction (ED) after urethral reconstructive surgery, using the 5-item International Index of Erectile Function (IIEF-5), the Sexual Life Quality Questionnaire (SLQQ) and the Quality of Life Questionnaire (QoLQ). Between January 2003 and July 2007, 125 male patients with urethral strictures underwent urethroplasty, and pre- and post-surgery erectile function was assessed using these three questionnaires. A formula to predict the probability of ED after urethroplasty was derived. At 3 months post-operatively, there was a significant decrease in IIEF-5 (16.57 +/- 7.98) and SLQQ scores (28.71 +/- 14.84) compared with pre-operative scores (P < 0.05). However, the IIEF-5 scores rebounded at 6 months post-operatively (17.22 +/- 8.41). Logistical regression analysis showed that the location of the urethral stricture, the recurrence of strictures and the choice of surgical technique were predictive of the post-operative occurrence of ED. This study identified the clinical risk factors for ED after urethroplasty. Posterior urethral stricture and end-to-end anastomosis were found to have a strong relationship with erectile function. The logistical model derived in this study may be applied to clinical decision algorithms for patients with urethral strictures.
Sujets)
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Anatomopathologie / Complications postopératoires / Qualité de vie / Chirurgie générale / Urètre / Sténose de l&apos;urètre / Études prospectives / Enquêtes et questionnaires / Auto-examen / Type d'étude: Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Asian Journal of Andrology Année: 2009 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Anatomopathologie / Complications postopératoires / Qualité de vie / Chirurgie générale / Urètre / Sténose de l&apos;urètre / Études prospectives / Enquêtes et questionnaires / Auto-examen / Type d'étude: Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Asian Journal of Andrology Année: 2009 Type: Article