PURPOSE: We studied the psychosexual adjustment, sexual behavior and genital appraisal of 9 to 18-year-old hypospadias patients. MATERIALS AND METHODS: We interviewed 116 hypospadias patients and 88 comparison subjects in a semi-structured manner. RESULTS: Hypospadias patients had a more negative genital appraisal and anticipated more ridicule by a partner because of penile appearance than comparison subjects but they did not have a different sexual adjustment. No significant impact of medical treatment (surgical procedures, number of operations or age at final surgery) was noted. Many hypospadias patients (38.8%) desired functional or cosmetic penile improvement. CONCLUSIONS: In addition to procedures that bring the meatus to a more terminal position, those that bring it more ventral can be performed without negatively affecting psychosexual adjustment. Hypospadias patients were reluctant to seek advice for problems and, therefore, they should be followed through adolescence.
PURPOSE: We studied the psychosexual adjustment, sexual behavior and genital appraisal of 9 to 18-year-old hypospadiaspatients. MATERIALS AND METHODS: We interviewed 116 hypospadiaspatients and 88 comparison subjects in a semi-structured manner. RESULTS:Hypospadiaspatients had a more negative genital appraisal and anticipated more ridicule by a partner because of penile appearance than comparison subjects but they did not have a different sexual adjustment. No significant impact of medical treatment (surgical procedures, number of operations or age at final surgery) was noted. Many hypospadiaspatients (38.8%) desired functional or cosmetic penile improvement. CONCLUSIONS: In addition to procedures that bring the meatus to a more terminal position, those that bring it more ventral can be performed without negatively affecting psychosexual adjustment. Hypospadiaspatients were reluctant to seek advice for problems and, therefore, they should be followed through adolescence.
Authors: Chris C Hoag; Geoff T Gotto; Kevin B Morrison; Gerald U Coleman; Andrew E Macneily Journal: Can Urol Assoc J Date: 2008-02 Impact factor: 1.862