14 DAY TRIAL // A blow in the c**k or just its infection can lead to urethral stricture. At the beginning, the subject may experience pain during urination and a partial inability to fully empty the bladder. But in certain cases, urethral strictures can lead to complete inability to urinate, which is a medical emergency. But few researches have tackled how sexual function in men is recovered after reconstructive surgery for anterior urethral stricture disease.
Recently, a team led by Chris Gonzalez at Northwestern University in Chicago assessed sexual dysfunction after urethroplasty for anterior strictures. The research pool was made of 52 men with an average age of 44 years who passed through 59 urethral reconstructive procedures for anterior urethral stricture between 2001 and 2004.
The researches monitored averagely 22.3 months the subjects before and after surgery, employing the O'Leary Brief Male Sexual Function Survey (OBSFI). The experienced surgeries included bulbar excision and primary anastomosis (23 of 52, 44%), dorsal or ventral buccal mucosa onlay reconstructions (22 of 52, 42%) and two-stage repairs using buccal mucosa (7 of 52, 14%).
The average stricture size was 4.85 cm (1.8 inch).The OBSFI analysis showed no significant variation in the average scores for sexual drive and erectile function before and after operation. But those subjects keeping a period of at least 12 months of recovery after their surgeries had better chance of getting an improved outcome. The ejaculatory function increased significantly after surgery as a whole and the improvement was most significant in males under 49 years old.
Of course, this was a normal result when the obstruction was eliminated but some researchers, like Guido Barbagli, have signaled that partially this outcome of post-void dribble and EjD could appear as the urethral stricture surgery affects the bulbospongiosum expulsion mechanism as it split off these muscle fibers.