PSYCHOLOGICAL & SEXUAL OUTCOMES IN ADULTS FOLLOWING URETHROPLASTY IN STRICTURE URETHRA

Abstract

Aim:To evaluate the impact of urethroplasty surgery on Psychological and sexual functions. Material And Methods: This is a prospective, hospital-based study that was conducted in urology department of Government Kilpauk Medical College from March 2019 to March 2020. A total of 35 patients with anterior urethral stricture who underwent urethroplasty were included in the study. The mean age of the patients was 35.3 ± 6.9 years (range: 25–48 years). Result: The incidence of erectile dysfunction (ED) after urethroplasty was 22.8% (8 patients) after 3 months, which was statistically signicant (P = 0.001), while at 6 months posturethroplasty, just 3 (8.6%) patients showed ED, with no statistically signicant difference (P = 0.15). The psychological effects of ED (Low self-esteem, depression and anxiety) after urethroplasty was 14.2% (5 patients) after 3 months, while at 6 months posturethroplasty, only 1 (2.8%) patient, with no statically signicantly difference ( P = 0.10). ED according to the etiology of urethral stricture, there was no statistically signicant difference between postinammatory and post-traumatic cases at 3 months (P = 0.643) and at 6 months (P = 0.245). Conclusion: Our study suggests that Urethral reconstructive surgery has a minimal effect on the ejaculatory and orgasmic functions. The impact on erectile function after urethroplasty is greater in men in the age group of more than 40 years than in men in the age group of 20–40 years with no statistically signicant difference.