# The impact of ventral oral graft bulbar urethroplasty on sexual life. ### Abstract #### Objective: To evaluate the pre- and postoperative aspects of sexual life (sl) in patients with bulbar urethral stricture who underwent ventral oral graft urethroplasty. #### Methods: Between 2009 and 2010, 52 men (mean age 36 years) were enrolled in our prospective study to ascertain sexual disorders before and after surgery. The validated male sexual health questionnaire-long form (mshq-lf) was completed pre- and postoperatively; the unvalidated but adapted post-urethroplasty sexual questionnaire (pusq) was completed postoperatively. Data were compared using the non parametric wilcoxon test. #### Results: Before urethroplasty, most of the patients reported sexual disorders, in particular reduced ejaculatory stream (85%); many of them (35%) feared the risk of a postoperative worsening in the quality of sl. After urethroplasty, nobody reported a worsened erection, while most of the patients noticed a significant improvement in erection, ejaculation, relationship with their partner, sexual activity, and desire. Modifications in the scrotoperineal sensitivity were reported by 42% and 15% noticed esthetic changes without impact on sl. All patients reported an improvement in quality of life (qol) and were satisfied with the outcome of urethroplasty. #### Conclusion: Urethral stricture disease may be responsible for sexual disorders that have a significant impact upon sl. Patients confessed a marked anxiety tackling urethroplasty and declared that one of their deepest fears regarded a potential further deterioration in the quality of sl. At short-term follow-up, the minimally invasive ventral graft urethroplasty does not cause sexual complications, apart from the post-ejaculation dribbling. On the contrary, this technique showed to restore sl in all its aspects. ##### Author Palminteri E, Berdondini E, De Nunzio C, Bozzini G, Maruccia S, Scoffone C, Carmignani L.