title: Psychosexual adjustment of men who underwent hypospadias repair: a norm-related study.
abstract: OBJECTIVE
  Psychosexual adjustment, sexual functioning and genital appraisal were studied in adult hypospadias patients.
  
  
  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.
authors.affiliation: Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Rotterdam, The Netherlands.
authors.forename: M A
authors.initials: MA
authors.lastname: Mureau
authors.forename: F M
authors.initials: FM
authors.lastname: Slijper
authors.forename: J C
authors.initials: JC
authors.lastname: van der Meulen
authors.forename: F C
authors.initials: FC
authors.lastname: Verhulst
authors.forename: A K
authors.initials: AK
authors.lastname: Slob
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011606:Psychosexual Development; D012725:Sexual Behavior / Q000523:psychology