Sexual behavior and sexual function of adults after hypospadias surgery: a comparative study

We assessed sexual behavior and sexual function in adults operated on for hypospadias. Long-term psychosexual adjustment was assessed with a standardized questionnaire which was mailed to 57 patients with hypospadias older than 18 years and 60 age matched normal control subjects. A total of 37 patie...

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Bibliographic Details
Published in:	The Journal of urology Vol. 171; no. 5; p. 1876
Main Authors:	Bubanj, Tatjana B, Perovic, Sava V, Milicevic, Ruzica M, Jovcic, Stevan B, Marjanovic, Zoran O, Djordjevic, Miroslav M
Format:	Journal Article
Language:	English
Published:	United States 01-05-2004
Subjects:	Adult Coitus Follow-Up Studies Humans Hypospadias - surgery Male Penile Erection Sexual Behavior Time Factors
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Summary:	We assessed sexual behavior and sexual function in adults operated on for hypospadias. Long-term psychosexual adjustment was assessed with a standardized questionnaire which was mailed to 57 patients with hypospadias older than 18 years and 60 age matched normal control subjects. A total of 37 patients with hypospadias and 39 controls participated. Self-reported strength of libido on a scale of 1 to 5 was shown to be similar in the 2 groups. Patients with hypospadias did not have problems in achieving erection and average self-rated quality of erection ranging from 1 to 5 was the same as that of controls (mean value 4.5). Patients with hypospadias noted curvature in a downward direction in a significantly higher proportion compared to controls (40% vs 18%, respectively). There were 13 patients with hypospadias who had ejaculation difficulties, of whom 6 had spraying and 7 had only dribbling of ejaculate. Patients with hypospadias masturbated significantly less often, were significantly less sexually active and had a smaller total number of sexual partners compared to control subjects. Control subjects were significantly more completely satisfied with their sexual life compared to patients with hypospadias (76.92% vs 51.35%, respectively). Sexual function of patients who underwent surgery for hypospadias in general is not affected. However, there is clearly a difference in certain aspects of sexual behavior between patients with hypospadias and controls. Followup and adequate counselling of patients who underwent surgery for hypospadias in adult life is necessary.
ISSN:	0022-5347
DOI:	10.1097/01.ju.0000119337.19471.51