Mureau M A, Slijper F M, van der Meulen J C, Verhulst F C, Slob A K
Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Rotterdam, The Netherlands.
J Urol. 1995 Oct;154(4):1351-5.
Psychosexual adjustment, sexual functioning and genital appraisal were studied in adult hypospadias patients.
A total of 73 hypospadias patients and 50 comparison subjects received a semi-structured interview.
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.
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.
