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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Evaluation of Sexual Well‐Being of Patients Following Reconstructive Surgery for Urethral Stricture Disease

Arif Islam, Partha Protim Mondal, Shashi Kant Tewari, Sudipto Kumar Singh, Anik Ghosh and Kunjan Kumar
Page: 287-297 | Received 31 Dec 2023, Published online: 25 Feb 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.287.297

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Abstract

Urethral stricture illness is a significant concern for patients seeking treatment at urology clinics worldwide. Urethroplasty is widely regarded as the most effective treatment for urethral stricture disease, making it the preferred choice among all available treatment alternatives. Nevertheless, these operations are intricate, time‐consuming and necessitate significant dissection of the penis and perineal region. Therefore, it is fairly uncommon for sexual dysfunction to occur as an undesirable result after the procedure. Analyze the patients thoroughly with regards to their demographic information, medical history and findings from the physical examination. The impact of the genesis, location and length of the Stricture illness on the result of reconstructive surgery, specifically in relation to sexual function. A Prospective analytical study 24 months, From May 2021 to April 2023, Department of urology and all patients admitted in urology ward of RGKMCH undergoing reconstructive surgery for urethral stricture disease, R.G Kar Government Medical College and Hospital, Kolkata. The study examined the overall scores based on sexual drive, erectile function and ejaculatory function at pre‐operative period and compared it with that of post‐operative scores at 3 month and 6 month. The study also examined the impact of age, location of stricture, length of structure, etiology of stricture, surgical procedures performed on the changes in all 3 domain of sexual function. P‐Value of the study was 0.05. There was a little and not statistically significant improvement in sexual drive overall following surgery which was statistically significant in the 30‐60 years age group. On the contrary patients aged over 60 had a statistically significant decline in postoperative sexual desire. There were no statistically significant effects on sexual drive observed in any other patient groups based on factors such as the length, location, etiology, or kind of surgery related to the stricture. We detected a statistically small decline in total erectile performance after surgery which was statistically significant in individuals with stricture caused by Bothered were no other etiologic categories or groups related to patient age, length or location of stricture, or surgical treatments that had a statistically significant effect on erectile function. Our study found that there was no significant decline in ejaculatory function after surgery and no group showed any statistically significant impact on ejaculatory function. An inconsequential enhancement was observed in all three domains with time when comparing the scores at 6 months post‐operation with those at 3 months post‐operation.

How to cite this article:

Arif Islam, Partha Protim Mondal, Shashi Kant Tewari, Sudipto Kumar Singh, Anik Ghosh and Kunjan Kumar. Evaluation of Sexual Well‐Being of Patients Following Reconstructive Surgery for Urethral Stricture Disease.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.287.297
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.287.297