Psychosexual adjustment of men who underwent hypospadias repair: a norm-related study.
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.
Mureau
M A
MA
Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Rotterdam, The Netherlands.
Slijper
F M
FM
van der Meulen
J C
JC
Verhulst
F C
FC
Slob
A K
AK
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