[Long-term effects of hypospadias repair]

The purpose of the study was the estimation of late aesthetic and functional results after the treatment of hypospadias. We also analysed the hypospadias impact upon the patients' social and psychological lives.

The research was conducted on 50 individuals of 18 to 36 years of age after surgery of hypospadias in the childhood. The following parameters were evaluated in the patients: medical documentation, detailed appearance of penis, micturition and sexual functions. The level of agreement of doctors' estimation and self-assessment of examined individuals and the hypospadias impact upon their social and psychological lives was taken under consideration based on Mureau questionnaire modified. It was compared with control group in a similar age and without hypospadias.

Abnormal position of urethral orifice was present in 48% of patients and narrow meatus in 18%. There was fistula in 28% and curved penis in 14% and abnormal shape of prepuce in 86% of patients. Dysfunction of micturition was reported by 24% and sexual dysfunction by 18% of examined individuals. There was no correlation between the authors' assessment and self-assessment of the patients. Lower level of education and professional qualifications and higher rate of unemployment and being in police records was observed in examined men. The sexual dysfunctions and abnormal micturition was greater in comparison with control group.

Numbers of noted complication is proportional to the severity of the hypospadias and independent of surgical method. The treatment of several stages in a long-term date and noted complications has significant negative effect on psychosexual development. Regular checkups until age of maturity and constant psychological care are necessary in order to achieve good results and improve self-assessment and social relations of patients.