Sexual complications after dorsolateral buccal mucosal substitution urethroplasty, Sohag experience.

Objective: Decision of urethroplasty must consider postoperative both voiding and sexual wellbeing. The aim of this study is to evaluate the sexual complications of dorsolateral buccal mucosal substitution urethroplasty. Methods: The study was initiated on January 2023 to January 2025, as a retrospective recording of the data of 80 patients underwent buccal graft substitution urethroplasty for anterior urethral stricture longer than 3 cm, age range 18-70 years. Voiding and sexual complications were recorded. Data was analyzed and presented by the use of SPSS version 26 program for data entry and analysis. Results: The mean age was 45.5±15.7 years old. Body mass index 28.3±4.2 kg/m². Aetiology of stricture was 52 cases of iatrogenic trauma, 4 cases of inflammatory origin ,16 cases of lichen sclerosus and 8 cases of idiopathic stricture. Operative time was 226.5±30.8 minutes. Sexual complications were noticed in 8 cases (10%), in the form of 4 cases of ventral chordee and 4 cases of erectile dysfunction, 3 of them improved after 6 months of the operation. Conclusion: Buccal graft substitution urethroplasty is a good choice to treat long anterior urethral stricture. Patient must be strictly informed about its Sexual and voiding complications. Erectile dysfunction may be transient and improve spontaneously