Can Urethral Surgery Cause Erectile Dysfunction?

Yes. Some urethral surgeries can be associated with erectile dysfunction (ED), particularly procedures involving extensive reconstruction or the posterior urethra. However, the risk varies according to the type of surgery, the underlying condition, and individual factors.

The nerves and blood vessels involved in erections can be affected by certain pelvic or urethral procedures. The EAU identifies urethral surgery, including surgery for urethral stricture and open urethroplasty, among conditions and procedures that may be associated with ED.

Erectile difficulties after urethral surgery may be influenced by:

• The location and extent of the urethral problem
• The type of reconstruction performed
• Possible effects on nearby nerves or blood vessels
• Erectile function before surgery
• The underlying condition causing the urethral problem
• Psychological factors during recovery

Not every man undergoing urethral surgery develops persistent ED. Some changes in sexual function may improve during recovery, while others may require specific treatment.

If erectile difficulties continue after surgery, evaluation can help determine whether the cause is neurological, vascular, structural, psychological, or a combination of factors. Treatment may include oral ED medicines, vacuum devices, injection therapy, or other appropriate options.

SCI International Hospital

At SCI International Hospital, Dr. Gautam Banga evaluates men experiencing erectile dysfunction after urethral or reconstructive urological surgery. The assessment considers the previous procedure, erectile function, neurological and vascular factors, and other possible causes to develop an individualized treatment plan.