Operated hypospadiacs: late follow-up. Social, sexual, and psychological adaptation.

Thirty-four adult men operated upon for hypospadias in childhood and 36 controls were examined by interview and psychological tests. During childhood hypospadiacs had enuresis, showed shyness, and were mobbed more often than controls. Hypospadiac's sexual debut, but not the first ejaculation, was delayed. Most hypospadiacs had a satisfactory sexual life, albeit restricted to fewer partners. Socially, hypospadiacs showed normal adjustment but had less qualified professions than controls. Hypospadiacs showed a more doubtful sexual identity and greater castration anxiety combined with lesser utilization of cognitive and emotional resources than controls. Early operated hypospadiacs had a more infantile sexual identity than those operated later (less than 5 yr).