Background: Urethral surgery outcomes are often evaluated by assessing urinary flow and urethral patency. However, sexual consequences may appear after urethroplasty, impairing quality of life and patient's perception of success. Objective: The aim of the study was to evaluate the relationship between anterior urethral reconstruction and postoperative sexual dysfunction, including the proposed factors predicting sexual outcomes. Methods: PubMed, Google scholar and Science direct were searched using the following keywords: Sexual dysfunction, Urethroplasty, Erectile dysfunction and Urethral stricture. The authors also screened references from the relevant literature, including all the identified studies and reviews, only the most recent or complete study was included between January 2002 and June 2021. Documents in a language apart from English have been excluded as sources for interpretation. Papers apart from main scientific studies had been excluded (documents unavailable as total written text, conversation, conference abstract papers and dissertations). Conclusion: Sexual dysfunction after anterior urethral reconstruction is an important issue that must be appropriately discussed during preoperative patient counselling. Reported outcomes after anterior urethroplasty should include sexual consequences and relevance, evaluated using validated tools.