ORLANDO—Erectile dysfunction (ED) is highly prevalent among men with prior failed hypospadias repair who present for urethroplasty, researchers reported at the American Urological Association 2014 annual meeting.
Daniel M. Stein, MD, of Northwestern University Feinberg School of Medicine in Chicago, and colleagues analyzed data from 163 men with prior failed hypospadias repair presenting for urethroplasty from 2002-2007. The mean age at presentation for urethroplasty was 39.7 years. Based on International Index of Erectile Function (IIEF) scores, 54% of patients had some degree of ED, with 22.1%, 3.7%, and 28.2% presenting with severe, moderate, and mild ED, respectively, according to the investigators. Men older than age 50 had the highest incidence of severe ED (38.9%) and those aged 30 or younger had a 60% incidence of ED, with 18% classified as severe.
The investigators also looked at a subset of 13 patients who completed the IIEF questionnaire pre- and post-operatively. Of these, 11 (85%) had the same or improved erectile function after surgery. The authors concluded that urethroplasty does not appear to negatively impact erectile function in men with previous hypospadias failure.