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

Abstract

Purpose Psychosexual adjustment, sexual functioning and genital appraisal were studied in adult hypospadias patients. Materials and Methods A total of 73 hypospadias patients and 50 comparison subjects received a semi-structured interview. Results More hypospadias patients (32.8 percent) than comparison subjects (12.8 percent) had been inhibited in seeking sexual contacts. Hypospadias patients reported a more negative genital appraisal than comparison subjects but did not have a different sexual adjustment. The severity of hypospadias negatively affected genital appraisal. Patient age at final operation positively correlated with sociosexual development. Many patients (37 percent) desired functional or cosmetic penil improvement. Conclusions The majority of hypospadias patients experienced a normal adult sex life. They were reluctant to seek advice for problems. We recommend followup of patients through adolescence.