Sexual Outcomes After Buccal Mucosal Graft Urethroplasty: Benefits and Complications

Objective To evaluate the sexual outcomes, including both benefits and complications, following buccal mucosal graft (BMG) urethroplasty in male patients. Methods A retrospective study was conducted on 160 patients came in the duration between February 2020 to December 2023 who underwent BMG urethroplasty for anterior urethral stricture longer than 3 cm. All patients were followed for a minimum of 2 years. Operative details, sexual function outcomes, and postoperative complications were recorded. Results The mean age was 39 ± 10.5 years old. Body mass index 27.3 ± 4.2 kg/m². Diabetes Mellitus in 8 cases, Hypertension in 18 cases. Aetiology of stricture was iatrogenic trauma in 60% of cases, 20% inflammatory ,15% lichen sclerosus and 5% idiopathic stricture. Operative time was 180 ± 25.6 minutes. Postoperative evaluation revealed significant improvement in international index of erectile function (IIEF-5) scores, indicating enhancement of erectile function in most patients. However, sexual complications were observed in a subset of cases: eight patients (5%) developed moderate erectile dysfunction, while five (3%) exhibited ventral penile curvature. Among those with curvature, three experienced spontaneous resolution, whereas two required surgical correction. Conclusion Buccal mucosal urethroplasty generally leads to improved erectile function and favorable sexual outcomes. Nevertheless, moderate erectile dysfunction and ventral curvature may occur as infrequent complications that require appropriate evaluation and management.