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ternal urethrotomy to manage urethral stricture disease. The early onset of ED in patients that failed multiple attempts at hypospadias repair in childhood is associated with advancing age, division of the urethral plate, and prior ventral corporal grafting. Especially significant is the association of ED to the use of repetitive internal urethrotomy to manage urethral stricture disease. Patients with neurogenic bladder (NG and urinary incontinence (UI) due to low bladder outlet resistance may require bladder neck procedures (BNPs) to
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