Ejaculatory function after anastomotic urethroplasty for pelvic fracture XXXX .

@entity1 @entity409 @entity130
PURPOSE: The effect of anastomotic urethroplasty for pelvic fracture @entity130 (PFUIs) on ejaculatory profile is under-reported in the literature. There is controversy as regards the effect of bulbocavernous muscle splitting during surgery on ejaculatory function (EjF). We evaluated the effects of anastomotic urethroplasty on EjF using a validated questionnaire. METHODS: We retrospectively reviewed the computerized surgical records to identify @entity1 who underwent anastomotic posterior urethroplasty for PFUIs from June 1998 to January 2014. Those @entity1 were retrieved and evaluated for their EjF using the EjF component of the Male Sexual Health Questionnaire (MSHQ). RESULTS: Overall, 58 @entity1 were included in the study with a mean age of 31.6  years. All @entity1 except one have antegrade ejaculation, and according to the overall ejaculatory score, only 5 @entity1 (8.6  %) reported @entity409 and the remaining 53 (91.4  %) had good or average EjF. Ten @entity1 (17.2  %) reported decreased volume and force of ejaculate. Decreased pleasure during ejaculation was the commonest ejaculatory disorder (39.6  %). The score of each of the seven ejaculatory questions among the study @entity1 was in harmony to the previous study of anterior urethroplasty except that @entity1 in this study had higher ejaculatory frequency and latency. CONCLUSIONS: Nearly all @entity1 maintained antegrade ejaculation after posterior urethroplasty for PFUIs. The risk of urethral reconstruction and splitting the bulbocavernous muscle on ejaculation seems to be minimal.
