Clinical Study

Anastomotic Repair versus Free Graft Urethroplasty for Bulbar Strictures: A Focus on the Impact on Sexual Function

Table 1

Patients’ characteristics (SD = standard deviation; FGU = free graft urethroplasty; AR = anastomotic repair; DVIU = direct vision internal urethrotomy; = maximum urinary flow; IPSS = International Prostate Symptom Score; IIEF = International Index of Erectile Function; EOS = Ejaculation/Orgasm Score).

All ()FGU ()AR () value

Age (years)Mean (SD)40 (16)48 (18)37 (13)0.018
Follow-up (months)Mean (SD)23.3 (10.9)25.2 (12.5)22.2 (10)0.376
Stricture length (cm)Mean (SD)3 (2.4)5.4 (2.6)1.8 (0.8)<0.001
Stricture etiology
 TraumaticNumber (%)4 (8.5)0 (0)4 (12.9)0.071
 InflammatoryNumber (%)1 (2.1)0 (0)1 (3.2)
 IatrogenicNumber (%)14 (29.8)8 (50)6 (19.4)
 IdiopathicNumber (%)28 (59.6)8 (50)20 (64.5)
Previous interventions
 NoneNumber (%)4 (8.5)2 (12.5)2 (6.5)0.877
 DVIU/dilation(s)Number (%)34 (72.3)11 (68.8)23 (74.2)
 Urethroplasty(ies)Number (%)9 (19.1)3 (18.8)6 (19.4)
Preop (mL/s)Mean (SD)6.3 (4.6)6.9 (4)6 (5)0.629
Preop IPSS (…/35)Mean (SD)22 (8)23 (7)21 (8)0.368
Preop IIEF-5 (…/25)Mean (SD)20 (7)18 (8)22 (6)0.202
Preop EOS (…/10)Mean (SD)8 (3)7 (4)9 (3)0.135
Suprapubic catheter
 YesNumber (%)8 (17)2 (12.5)6 (19.4)0.697
 NoNumber (%)39 (83)14 (87.5)25 (80.6)