Login to Access Video or Poster Abstract: MP36-19
Sources of Funding: None

Introduction

There are no reliable data about the incidence of de novo Penisschaftdeviation (PD) after urethral reconstruction using oral mucosa graft(OMG). We evaluated 700 patients who underwent a urethroplasty using OMG. _x000D_

Methods

Of 800 operated patients between 04/1994 and 08/2013 700 were evaluated with a minimum follow up of 12 (12-205) months using a standardized questionnaire. All patients received a ventral onlay. We investigated the occurrence of de novo Deviation. In case of a de novo PD we asked about the impairment in sexual intercourse and whether the patient wants counselling and treatment. _x000D_ _x000D_ All patients who answered any of these questions with yes, were contacted once again telephonically. _x000D_

Results

442 (63.1%). 8.5% (38) answered with yes to at least one of the questions. The mean stricture length was 10.2 cm (2-25); 94.5% (36/38) could be contacted by phone again. _x000D_ 47.3% (18/38) had misinterpreted the question or had a PD preoperatively. 13.1% (5/38) had a preoperative Erectile dysfunction with a median IIEF-5 score of 5. Thus remaining 39.4% (15/38) with a de novo PD, i.e. 3.3% of the total population. Consultation request was 1.1% (5/442). _x000D_ _x000D_ 8/15 (53.3%) with de novo PD (stricture length 13-21) had a slight deviation laterally, 3/15 (20%) dorsally and 2/15 (13.3%) a deviation anteriorly. 2 patients could not be contacted. None of these patients wanted treatment or had problems with sexual intercourse._x000D_

Conclusions

A de novo PD after urethroplasty with OMG occurs in 3.3%. The deviation is minimal and does not imply a desire for treatment, respectively impairment in sexual intercourse. These are the first data collected in a large population about the occurrence of PD after urethral reconstruction with OMG._x000D_

Funding

None