Re: Assessment of the Short-Term Functional Outcome after Urethropiasty: A Prospective Analysis

摘要

Objectives: To assess the short-term functional outcomes on urinary symptoms, erectile function, urinary continence and patient's satisfaction after urethropiasty. Materials and Methods: A prospective analysis was done in 21 patients who underwent urethropiasty. An assessment of the urinary flow, urinary symptoms (International Prostate Symptome Score ), erectile function (International Index of Erectile Function-5 ) and urinary continence International Consultation Committee on Incontinence Questionaire male Short Form ) was done before urethro-plasty and 6 weeks and 6 months after urethroplasty. Patients were also asked to score their satisfaction with the urethroplasty after 6 weeks and 6 months. Results: Mean patient's age was 48 years range: 26-80 years). Mean stricture length was 4.2 cm (range: 1-12 cm). Three patients suffered a stricture recurrence. Mean maximum urinary flow increased from 5.83 mL/s to 24.92 mL/s (p < 0.001). Mean IPSS preoperative, 6 weeks and 6 months postoperative was respectively 15.86, 4.60 and 6.41 (p < 0.001). The mean IIEF-5 score preoperative, 6 weeks and 6 months postoperative was respectively 15,12.13 and 11.62 (not significant). The mean ICI-Q-SF score preoperative, 6 weeks and 6 months postoperative was respectively 10.47, 8.33 (p = 0.04) and 9.47 (p = 0.31). Patient's satisfaction 6 weeks and 6 months postoperative was respectively 17.14/20 and 17.12/20. Conclusions: Urethroplasty leads to a significant improvement in urinary flow and IPSS and urinary continence is tending to improve. Although not significant, erectile function was slightly diminished after urethroplasty. Functional outcome should be assessed when urethroplasty is performed.