XXXX post-perineal anastomotic urethroplasty for traumatic urethral injuries: analysis of incidence and possibility of recovery.

@entity1 @entity323 @entity174 @entity530 @entity130
PURPOSE: To evaluate the incidence of @entity323 ( @entity323 ) and recoverability of erectile function (EF) after anastomotic urethroplasty for traumatic urethral injuries (TUIs) of different etiologies. METHODS: A retrospective review for @entity1 ' records underwent perineal anastomotic urethroplasty for TUIs from June 1998 to January 2014 was conducted. Those @entity1 were contacted and evaluated using the International Index of erectile function questionnaire in sexually active @entity1 , and in unmarried @entity1 , the single-question self-report of @entity323 was used. @entity1 with @entity323 underwent penile color Doppler ultrasonography. RESULTS: Overall, 81 @entity1 were included in the study. The incidences of @entity323 following urethroplasty for TUIs were 72.3, 35.3 and 0  % in cases due to @entity174 , straddle and iatrogenic injuries, respectively. None of the @entity1 reported deterioration of EF after urethroplasty. Seven (13.5  %) @entity1 reported recovery of their EF within 2  years after @entity130 . The probability of recovery of EF after PFUI was 9  % compared to 28.6 and 100  % in @entity1 with straddle and iatrogenic urethral injuries, respectively. @entity1 with type C @entity174 had no chance for EF recoverability. CONCLUSIONS: PFUIs have a probability of causing @entity323 as much as 72  % compared to 35 and 0  % in @entity1 with straddle and iatrogenic urethral injuries, respectively. Anastomotic urethroplasty has no deleterious effect on EF. A tendency for higher recoverability of EF could be observed after iatrogenic urethral injuries followed by straddle injury then PFUIs. The probability of recovery decreased proportionally with severity of @entity530 .
