Psychosexual Adjustment of Men Who Underwent Hypospadias Repair: Norm-Related Study

Mureau, Marc A.M.; Slijper, F. M. E.; Meulen, Jacques C. van der; Verhulst, Frank C.; Slob, Koos A.

doi:10.1016/s0022-5347(01)66859-9

Cited by 116 publications

(67 citation statements)

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“…6,11,12 Further, the low positive genital appraisal may explain their apparently delayed sexual debut, as suggested by Mureau and colleagues. 4,5 Two of our respondents who provided comments corroborated this suggestion by indicating that anxiety over the appearance of their penis had delayed their first sexual experience.…”

Section: Long-term Follow-up Questionnaire Findingssupporting

confidence: 59%

“…6,8,11 Multiple studies have demonstrated that those with hypospadias have delayed sexual milestones (emotional intimacy, physical intimacy and sexual intercourse). 4,5,7,10,23,24 However, they do not appear to differ significantly from normal men in terms of sexual functioning (erection quality, ejaculation, satisfaction and pain). 4,8,10 These findings also appear to be reflected in our study, in which all but 1 respondent denied difficulty or pain with sexual intercourse or ejaculation and most (15/28, with 6 others being "neutral") indicated satisfaction with their sexual functioning.…”

Section: Long-term Follow-up Questionnaire Findingsmentioning

confidence: 86%

“…1,2 In addition, significant contradiction exists in the literature regarding the psychosexual impact of hypospadias and hypospadias repair. [3][4][5] Some studies report that sexual development and function are normal, [6][7][8] whereas others report less positive results. [9][10][11] Some investigators have reported that all patients are satisfied with the cosmetic result, 12 whereas others have found that 38% still felt deformed 11 or that as many as 72% regarded their penis as abnormal.…”

mentioning

confidence: 99%

“…6 Regardless of their bias, most authors agree that these patients need to be followed into adolescence and adulthood to assess patient satisfaction. [4][5][6]11,13,14 To our knowledge, there is no Canadian-based literature on this subject, and there are few studies in the world literature that focus on functional outcomes and patient satisfaction as those with hypospadias grow into adulthood. 6,11,14,15 This study aimed to address these deficiencies in current understanding of the long-term outcomes of hypospadias repair during childhood.…”

mentioning

confidence: 99%

“…[4][5][6]11,13,14 We echo this recommendation; in the impending era of electronic medical records (with automated follow-up routines), initiating these follow-up appointments 10-15 years postrepair will become increasingly feasible.…”

mentioning

confidence: 99%

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Long-term functional outcome and satisfaction of patients with hypospadias repaired in childhood

Hoag

Gotto

Morrison

et al. 2013

CUAJ

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Introduction: Potential long-term sequelae of hypospadias and its surgical correction include difficulties in voiding, sexual function, psychosexual adjustment and self-appraisal. These difficulties often evolve long after surgical repair as children grow to adulthood. Despite this, patient-driven data on long-term functional outcomes and satisfaction are limited, leaving the true success of hypospadias surgery essentially unknown. The aim of this study was to address these deficiencies. Methods:We conducted a chart review for all patients operated on by a single urologist from 1981 to 1988. Extensive efforts were made to obtain accurate current address information for patients. A database of patient demographics and pathology, operative details and complications was created. A 22-item questionnaire was mailed to study subjects. Telephone follow-up by an independent research nurse bolstered response rates. Responses from returned questionnaires were pooled and analyzed. Results:The chart review included 115 patients. Of 100 patients (with address information) who were sent questionnaires, 28 ultimately responded. The chart review group was comparable to groups in other published studies. Despite a slightly higher initial major complication rate (57.2%), respondents reported few long-term complications (11% fistula, 29% persistent chordee and 10% stricture) and excellent urinary and sexual functional results. The most common functional complaints were spraying and hesitancy during micturition. Overall, 86% of patients were satisfied with their surgical result, and 52% wished they had been provided longer follow-up. Conclusion:Long-term outcomes data are critical to an honest account of success rates for hypospadias surgery. Obtaining these data remains challenging. In this series, despite high initial complication rates, most patients reported excellent long-term functional results and were quite satisfied with their overall outcome.

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