Evaluation of Health-related Quality of Life, Voiding Pattern and Sexual Function in Patients with Status Stage 1 Urethroplasty for Pan Anterior Urethral Stricture Disease
P Puvai Murugan,
PSG Hospitals, Coimbatore, Tamil Nadu, India.
Introduction: Staged urethroplasty is used for the reconstruction of urethra in panurethral stricture disease.
Aim: This study evaluated the Health-Related Quality of Life (HRQOL), voiding pattern and sexual function in patients with status stage 1 urethroplasty.
Materials and Methods: This cross-sectional study included patients who had undergone staged urethroplasty from March 2008 to April 2018. Data on HRQOL, voiding pattern and sexual function were collected using Short Form Health Survey (SF-36), International Prostate Symptom Score (IPSS) and International Index of Erectile Function (IIEF) questionnaire, respectively. Voiding pattern was further assessed by uroflowmetry, Post void residual urine assessment (PVR) and calibration of urethra with 18 Fr Foley catheter. Student t-test was used for continuous variables and Chi-square test for discrete variables.
Results: A total of 37 patients were included in the study. The mean age of the patients was 53.4 years. The mean scores of physical component and mental component of SF-36 were 49 and 51, respectively. The overall IPSS score was mild in 18 (49%), moderate in 12 (32%) and severe in seven (19%) patients. Only three patients were sexually active with mean IIEF scores of 23/30 in erectile function, 8/10 in sexual desire, 7/10 in orgasmic function, 11/15 in intercourse satisfaction and 7/10 in overall satisfaction. The success of surgery assessed by voiding pattern was 75.6%. The IPSS score was significantly higher in older patient with age >55 years (p<0.001), and treatment failure group (p<0.001), however, there was no significant difference in patients who had BXO changes (p>0.05).
Conclusion: These observations suggest that stage 1 component of staged urethroplasty for pan anterior urethral stricture disease has a reasonable success rate and does not adversely affect the quality of life index. However, these patients need appropriate counselling regarding sexual life.