TO DETERMINE THE OCCURRENCE OF ERECTILE DYSFUNCTION AMONG ADULT MALE PATIENTS OF BULBAR URETHRAL STRICTURE REPAIRED BY END-TO-END ANASTOMOSIS OR ORAL MUCOSA GRAFT METHOD – A RANDOMIZED CONTROLLED TRIAL

Background: Bulbar urethral stricture is a common urological condition, and its surgical management may impact erectile function. The relative effect of end-to-end anastomosis (EEA) versus oral mucosa graft (OMG) urethroplasty on postoperative erectile function remains uncertain. Objective: To compare the incidence of erectile dysfunction (ED) following EEA versus OMG urethroplasty in adult males with bulbar urethral stricture. In this randomized controlled trial, eligible adult male patients with bulbar urethral s Methods: tricture were randomized to undergo either EEA or OMG urethroplasty. Erectile function was assessed preoperatively and postoperatively at 3, 6, and 12 months using the International Index of Erectile Function-5 (IIEF-5). The primary outcome was the occurrence of ED at 12 months. Secondary outcomes included stricture recurrence and complications. Patients undergoing OMG had higher mean postoperative IIEF-5 scores compared to Results: EEA at all follow-up points. The incidence of ED at 12 months was higher in the EEA group compared to the OMG group. Both EEA and OM Conclusion: G are effective for stricture repair, but OMG is associated with better erectile function preservation