Quality of life dynamics in men after urethral stricture surgery

Abstract

Background. Urethral resection or urethroplasty are the exceptional radical methods of treating urethral stricture disease in men. But so far, standards for the rehabilitation of patients undergoing this operation have not been fully developed. Primarily, it refers to the restoration of erectile function and the relief of psychological and emotional disorders that always accompany this disease, especially in young men. Objectives. Study the prevalence of anxiety and depression in the background of lower urinary tract symptoms (LUTS) and erectile disorders in urethral stricture disease before and after surgical treatment. Materials and methods . A clinical and statistical analysis of the surgery of 70 men with different etiologies of urethral stricture disease, as well as their initial androgenic status was carried out. The dynamics of quality of life in patients were determined by the symptoms of LUTS, sexual dysfunction and erectile dysfunction (ED), in combination with the psychological and emotional status on the anxiety and depression scales (HADS 1, 2). Results. The initial androgenic status of patients influences the risk of wound complications in the early postoperative period. Successful surgical treatment of urethral strictures (US) is characterized by rapid and reliable relief of LUTS and less relief of the severity of sexual disorders and erectile dysfunction. Conclusion. A set of estimates of LUTS, ED, and anxiety / depression in the medium and long term after successful urethral surgery should be considered together.