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Psychosexual adjustment of men who underwent hypospadias repair: a norm-related study
M A Mureau1, F M Slijper, J C van der Meulen
1Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Rotterdam, The Netherlands.
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%) than comparison subjects (12.8%) 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%) desired functional or cosmetic penile 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.