The influence of urethral stricture disease and urethroplasty on anxiety and depression in men


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Abstract

Introduction. The relationship of surgical treatment of urethral stricture and such mental deviations as anxiety and depression is still poorly understood. Particularly, there is no reliable data on how mental status is associated to surgical treatment of the urethral stricture and its efficacy. Aim: to study the indicators of anxiety and depression in patients with urethral stricture before and after surgery. Materials and methods. The prospective study involving 30 men aged 20-74 years with urethral stricture of various etiologies and localizations was conducted. The validated questionnaires, HADS-1 and HADS-2 were used to evaluate anxiety and depression, lower urinary tract symptoms (I-PSS-QoL), erectile dysfunction (IIEF-5) before and 3 and 6 months after surgery. Results. Almost all patients with urethral stricture before surgery had an increased level of anxiety and depression, which in 70% cases decreased to normal values by 6 months after successful surgery. Clinically, these changes correlated with the improvement of lower urinary tract symptoms. The restoration of erectile function in patients by 6 months was less pronounced, though it had no influence on the resolution of anxiety/ depression. Conclusion. The determination of psycho-emotional status in patients with urethral stricture before and after urethroplasty should be as important for the evaluation of the efficiency of surgical treatment, as the resolution of lower urinary tract symptoms and restoration of sexual function.

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About the authors

M. I Kogan

Rostov State Medical University of Minzdrav of Russia

Email: dept_kogan@mail.ru
Dr.Med.Sci., Prof., Honored Scientist of Russia, head of the department of urology and reproductive health with the course of pediatric urology and andrology

B. G Amirbekov

Rostov State Medical University of Minzdrav of Russia

Email: amir_uro@mail.ru
teaching assistant at the department of urology and reproductive health with the course of pediatric urology and andrology

M. N Kryuchkova

Rostov State Medical University of Minzdrav of Russia

Email: marina.gemchugina@yandex.ru
assistant at the Department of Psychiatry and Narcology FPK and PPS

V. V Mitusov

Rostov State Medical University of Minzdrav of Russia

Email: mvv55@list.ru
Dr.Med.Sci., associate professor at the at the department of urology and reproductive health with the course of pediatric urology and andrology

V. V Krasulin

Rostov State Medical University of Minzdrav of Russia

professor at the department of urology and reproductive health with the course of pediatric urology and andrology

D. V Sizyakin

Rostov State Medical University of Minzdrav of Russia

Email: dsiziakin@mail.ru
Dr.Med.Sci., professor at the department of urology and reproductive health with the course of pediatric urology and andrology

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