Abstract
Purpose To assess surgical results and psychosexual adjustment in a group of young adult patients submitted for hypospadias correction in their childhood. Material and methods Thirty patients were assessed with International Prostate Symptom Scale (I-PSS), International Index of Erectile Function (IIEF), genital examination and instrumental evaluation. Psychosexual outcome was assessed with: Center for Epidemiologic Studies Depression Scale (CES-D), Self-rating Anxiety Scale (SAS), and an original structured questionnaire aimed at evaluating social relationships, self body image, urological disorders and sexuality of hypospadiac patients. Age-matched healthy male control subjects were mailed with the same questionnaires. Results On the I-PSS urinary symptoms were found in 24 hypospadiacs and in 7 of the 30 control subjects. On the IIEF all hypospadiacs and all control subjects reported normal erectile function. CES-D and SAS revealed an absence of depression and anxiety traits in both populations. Our original questionnaire found that 16 patients had a partner; 21 patients reported complete sexual activity; all patients were satisfied with their sexual function; 26 patients had concerns about male infertility; all patients were satisfied with the surgical outcome; 27 expressed the need for outpatient follow-up. Instrumental assessment showed a good urinary flow in all patients and penile curvature in 8 patients. Conclusions In contrast with several Authors, we found an overall satisfactory sexual function with good psychosexual adjustment. We recommend routine follow-up during adolescence to resolve patients’ concerns about fertility related to their genital malformation.
Published Version
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