Impact of urethral reconstruction length on erectile and ejaculatory function Impacto de la longitud de la reconstrucción uretral en la función eréctil y eyaculatoria
Revista Internacional de Andrologia, cilt.24, sa.2, ss.76-82, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 24 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.22514/j.androl.2026.021
- Dergi Adı: Revista Internacional de Andrologia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, DIALNET
- Sayfa Sayıları: ss.76-82
- Anahtar Kelimeler: Disfunción eréctil, Ejaculatory disorders, Erectile dysfunction, Estenosis uretral, Trastornos eyaculatorios, Urethral stricture, Urethroplasty, Uretroplastia
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sivas Cumhuriyet Üniversitesi Adresli: Evet
Özet
Background: Urethral stricture is a prevalent urological condition with significant functional consequences. Urethroplasty remains the gold standard treatment; however, its potential effects on postoperative erectile and ejaculatory function remain a subject of debate. This study aimed to investigate whether urethral reconstruction length influences sexual outcomes in men undergoing non-transecting buccal mucosal graft urethroplasty. Methods: In this hybrid study with retrospective baseline data collection and prospective follow-up, 72 men aged 18–75 years who underwent urethroplasty were included. Patients were categorized into short-segment (SS; ≤3 cm, n = 25) and long-segment (LS; >3 cm, n = 47) groups. Erectile and ejaculatory functions were evaluated preoperatively and at least 6 months postoperatively using the International Index of Erectile Function (IIEF-15) and the Male Sexual Health Questionnaire-Ejaculatory Dysfunction (MSHQ-EjD). Demographic variables, urethral stricture characteristics, and surgical parameters were compared between groups. Statistical analyses included t-tests, Mann-Whitney U tests, chi-square tests, and correlation analyses (p < 0.05 considered significant). Results: Baseline demographics, urethral stricture location-length, and graft placement techniques were comparable between SS and LS groups. Pre- and postoperative IIEF total scores, orgasmic function, sexual satisfaction, and MSHQ-EjD scores showed no statistically significant differences between groups. Although LS patients exhibited slightly lower preoperative erectile and ejaculatory scores, postoperative outcomes and pre-to-postoperative changes did not differ significantly. No cases of de novo erectile dysfunction were observed. Conclusions: Our findings suggest that urethral reconstruction length may not significantly impact postoperative erectile or ejaculatory function in patients undergoing non-transecting buccal mucosal graft urethroplasty. Urethral stricture length alone should not be considered a determinant of postoperative sexual dysfunction. Larger, multicenter and prospective studies are required to validate these results and further clarify the association between urethroplasty parameters and sexual function.