Erectile Dysfunction in PFUDD Patients after Progressive Perineal Urethroplasty

Sanjay Saini, Sanjay Yadav, Anshika Yadav

Abstract: Background: The incidence of pelvic fracture urethral distraction defect (PFUDD) is estimated at 1.54-10%.3, 4 It is associated with a high incidence of erectile dysfunction. Objective: To determine the effect of perineal urethroplasty on Erectile function using IIEF5 score. Method: A prospective follow-up study was planned on patients of pelvic fracture urethral distraction defect undergone for urethroplasty operation and followed for six months. Erectile function was evaluated via International Index of Erectile Function (IIEF) questionnaire pre and post operatively. Results: Total 22 participants were enrolled in study. Mean age of stud participants was 46.4?12.6 years. Most common mode of injury was road traffic accident found in 14 (63.64%) participants. following pelvic trauma, 13 (59.09%) participants pre-operatively and 11 (50%) participants post-operatively shows erectile dysfunction. Conclusion: Pre-operatively and Post-operatively, no significant difference was observed in erectile function of subjects assessed by IIEF questionnaire (p=0.90).

Keywords: Erectile dysfunction, IIEF, Urethroplasty