Review Article

Sexual (Dys)function after Urethroplasty

Table 5

Meta-analyses, erectile dysfunction.

Meta-analysesStudiesUrethroplastyResults

Feng et al. [58]231729Anterior and posterior urethroplastyNo significant difference before or after urethroplasty [OR 0,85; 95% CI (0,52–1,40);   = 0,53]  
ED incidence after posterior urethroplasty lower than before [24,01% versus 43,27%; OR 2,51; 95% CI (1,82–3,45); < 0,01] 
No significant difference before or after penile urethroplasty [23,53% versus 35,29%; CI (0,13–2,52); = 0,45] 
No significant difference between penile and bulbar urethroplasty  [23,81% versus 16,67% OR 1,62; 95% CI: 0,51–5,81, = 0,41] 
ED incidence after graft urethroplasty significantly lower than anastomotic urethroplasty [(OR 0,32; 95% CI: 0,11–0,93; = 0,04)]

Blaschko et al. [60]362323Anterior urethroplasty1% incidence of de novo ED after urethroplasty 
ED transient and resolved between 6 and 12 months in 86% of cases 
No statistical significant association between de novo ED and stricture location, mean stricture length, number of previous instrumentations/repairs, or type of repair