1861 THE IMPACT OF VISUAL INTERNAL URETHROTOMY (VIU) ON SEXUAL FUNCTION

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease/Surgical Therapy II1 Apr 20121861 THE IMPACT OF VISUAL INTERNAL URETHROTOMY (VIU) ON SEXUAL FUNCTION Phil Hyun Song, Ji Woong Choi, Dae Hyeon Kwon, Hyun Tae Kim, Hong Seok Shin, Hee Chang Jung, and Ki Hak Moon Phil Hyun SongPhil Hyun Song Daegu, Korea, Republic of More articles by this author , Ji Woong ChoiJi Woong Choi Daegu, Korea, Republic of More articles by this author , Dae Hyeon KwonDae Hyeon Kwon Daegu, Korea, Republic of More articles by this author , Hyun Tae KimHyun Tae Kim Daegu, Korea, Republic of More articles by this author , Hong Seok ShinHong Seok Shin Daegu, Korea, Republic of More articles by this author , Hee Chang JungHee Chang Jung Daegu, Korea, Republic of More articles by this author , and Ki Hak MoonKi Hak Moon Daegu, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1973AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We prospectively examined the impact of VIU on sexual function. METHODS Between March 2006 and April 2010, 76 patients treated by VIU were enrolled in this study. Preoperative sexual function was assessed by International Index of Erectile Function-5 (IIEF-5) and Intravaginal Ejaculation latency time (IELT). Nine patients who had IIEF-5 score<17 and IELT<2min were excluded. Sexual function was evaluated by the Korean version of the Male Sexual Health Questionnaire (MSHQ) assessing three sexual functional domains of ejaculation (range: 0-15), satisfaction (range: 6-30), erection (range: 1-35) at preoperative, 3 months, 6 months and 12 months after VIU. We assessed the etiology of stricture, stricture site, stricture length, time of recurrence, duration until first recurrence and compared respective scores for age groups (ranges 40-49, 50-59, 60-69, 70-79 years). Recurrence was diagnosed by retrograde urethrography. RESULTS A total of 67 men with mean age 57.1 (range 43-77) completed the study. The mean follow-up was 17.5 months (range 12-38). There were no significant differences in erectile function and sexual satisfaction for all age groups, but it improves ejaculatory function in 40-49 (p=0.012), 50-59 (p=0.018) age groups. The etiology of stricture was traumatic in 23 patients, inflammatory in 14 patients, idiopathic in 25 patients, iatrogenic in 5 patients. Stricture site was bulbous in 25 patients, membranous in 36 patients and multiple in 6 patients. The mean stricture length was 1.86±0.932cm, the mean time of recurrence was 1.5±0.74 times, the mean duration until first recurrence was 10.5±6.72 months. In univariate analysis, there were no significant differences in satisfaction, erectile function for all various factors. But, shorter length of stricture, smaller times of recurrence and shorter duration until first recurrence improved ejaculatory function (p=0.006, p=0.005, p=0.013). CONCLUSIONS VIU does not significantly affect erectile function and sexual satisfaction, but it improves ejaculatory function in younger age group. Shorter stricture length, smaller time of recurrence and shorter duration until first recurrence can improve ejaculatory function. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e752 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Phil Hyun Song Daegu, Korea, Republic of More articles by this author Ji Woong Choi Daegu, Korea, Republic of More articles by this author Dae Hyeon Kwon Daegu, Korea, Republic of More articles by this author Hyun Tae Kim Daegu, Korea, Republic of More articles by this author Hong Seok Shin Daegu, Korea, Republic of More articles by this author Hee Chang Jung Daegu, Korea, Republic of More articles by this author Ki Hak Moon Daegu, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...