Urethral stricture is a narrowing of the urethra due to scar tissue, which leads to obstructive voiding dysfunction with potentially serious consequences for the entire urinary tract. The consequences of this obstruction can enormously impair the patient’s quality of life by causing micturition disturbances; they can also damage the entire urinary tract, resulting in loss of renal function. To evaluate the sexual functions in pre and post urethroplasty patients. The present study was a prospective observational study. This Study was conducted from March 2022 to March 2023 at urology department, Government medical college Thiruvananthapuram. Total 35 patients were included in this study. Our descriptive analysis shows Sexual drive varied significantly when compare with pre‐opvs 3 months and 3 months vs 6 months (p = 0.001). But when we compare sexual dive with pre‐op to 6 months, it was statistically insignificant (p = 0.11). Erectile functions also was varied significantly pre‐op to 3 months (p = 0.002) and 3 months to 6 months (p = 0.001). So, present study shows significant deterioration of erectile functions after the operation. The ejaculatory function has been decrease after the urethroplasty operation and it was statistically significant when we compare pre‐op score to 3 months (p = 0.02) but statistically significant improvementat 3 months to 6 months score (p = 0.001). However, there was statistically insignificant at 6 months compare to pre‐op value (p = 0.9). The mean score if erectile function in urethroplasty in bulbomembranous strictures at 3 months and 6 months was 0.5±0.4 and 1.17±0.7 and it was highly significant statistically (p = 0.001). Nonbulbomembranous strictures patients had mean score of 5.31±2.4 and 6.17±2.55 at 3 and 6 months and it’s also statistically significant but not worse as bulbomembranous stricture group. Our study was a prospective study and it showed the above results. But the pre‐ operative and postoperative psychometric analysis was not done which could have possibly rule out psychological factors of the burden of the disease and operation and others associated psychological factors that may aggravate the result in sexual functions. Limitations of this study include its small cohort, its short follow‐up.
Tamaghna Pal and G. Sathish Kumar. An Observational Study on the Evaluation of the Sexual Functions in Post Urethroplasty Patients.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.406.410
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.406.410