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Date of last update: 8/13/2017.

Forum Name: Urology Topics

Question: ED a year after succesfull urethroplasty?

 jacklalanne - Tue Dec 22, 2009 7:07 am

I'm a 25 male who underwent a bulbar diverticulum (Cowper's syringocele)
excision by open surgery 1 year ago. After the excision, logically, a
urethral reconstruction (urethroplasty) was carried out. I've 2 questions
and will be very pleased if someone can answer them:

1) Before and after the surgery, I didn't suffer of Erectile Dysfunction (E.D.). In fact, after the surgery, I've had perfect erections, as always. But since some weeks,
I'm feeling weaker in this respect and I've started to dwell on if it has
to do with the 1year-ago surgery...It can happen that E.D. appear a year
after the surgery if just after it there weren't any problems? I suppose
that it doesn't make sense but I'd like to know your opinion. In case yes,
how could it be explained?

2) One year after the surgery, I still suffer one minor complication: a
sort of scotal pain, not throughout the scrotum but in the skin "linking"
the testicles "bag" and the penis. This pain is not constant, but
happening only when touching. The strange fact is that all this thing is
accompanied by a sort of scrotal numbness, not in all the scrotum but from
the scar (an inverted U) and above, extending somehow through the
"non-view" side of the penis. My question is if this kind of long-term pain+numbness tends to dissapear or will be with me forever. And anyway, what can I do to improve in this respect...

I'm worried since I'm young and want to have no problems related to sex
for a still a long time...Thanks a lot and kindest regards
 Dr.M.Aroon kamath - Thu Feb 18, 2010 11:56 pm

User avatar Hi,
It is very unlikely that one year following the surgery that one would develop erectile dysfunction directly as a result of the surgery.Other causes of erectile dysfunction also need to be investigated.

As far as the numbness is concerned, it is usually due to the unavoidable trauma to the tiny cutaneous nerves that supply the area in question.This kind of deficits involving small areas of the skin generally get better with time as the neighboring dermatomes tend to overlap these areas.How much recovery may occur or what the time-frame may be are highly unpredictable.
Best wishes!

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