Bush Nicol Corbin, Snodgrass Warren
The Hypospadias Specialty Center, The Colony, TX, USA.
Res Rep Urol. 2023 Sep 21;15:425-430. doi: 10.2147/RRU.S405901. eCollection 2023.
The few available reports regarding adults living with distal hypospadias give disparate views of the functional and aesthetic impact of this penile birth defect when it is not corrected. We reviewed symptoms and findings in consecutive men with unrepaired distal hypospadias and report those observations.
Men with uncorrected hypospadias were queried regarding urinary symptoms, sexual dysfunction, and aesthetic concerns. Glans fusion around the meatus was measured. Penile curvature was confirmed by photographs of erections, and its degree objectively measured in those undergoing surgery.
There were 51 men with a mean age of 42 years (18-63). None had glans fusion around the meatus, and the main symptom was urine spraying in 81%. Penile curvature was present in 33%. Painful sexual activity was reported by 34% due to penile curvature, exposed urethral mucosa, or a scrotal web. All but one man experienced functional problems. In addition, 60% were bothered by their abnormal appearance.
All but one of these men with uncorrected distal hypospadias had penile dysfunction, and 60% were additionally concerned about the atypical appearance of their penis. These results offer a different perspective than earlier reports which said that most men with uncorrected distal hypospadias were not bothered by their condition, and many were not aware of it.
关于成年先天性尿道下裂患者的现有报告较少，对于这种阴茎先天性缺陷未经矫正时的功能和美观影响，给出了不同的观点。我们回顾了连续性未经修复的先天性远端尿道下裂男性患者的症状和检查结果，并报告这些观察结果。
询问了患有未矫正尿道下裂的男性患者的泌尿症状、性功能障碍和美观方面的问题。测量尿道口周围的龟头融合情况。通过勃起照片确认阴茎弯曲情况，并对接受手术的患者客观测量其弯曲程度。
共有51名男性，平均年龄42岁（18 - 63岁）。无人出现尿道口周围龟头融合，主要症状为81%的患者存在尿流散射。33%的患者存在阴茎弯曲。34%的患者因阴茎弯曲、尿道黏膜外露或阴囊蹼导致性生活疼痛。除一人外，所有男性均有功能问题。此外，60%的患者因外观异常而烦恼。
除一人外，这些患有未矫正远端尿道下裂的男性均存在阴茎功能障碍，60%的患者还对阴茎的异常外观感到困扰。这些结果与早期报告的观点不同，早期报告称大多数患有未矫正远端尿道下裂的男性并未因自身情况而烦恼，许多人甚至并未意识到这一问题。
