Satisfaction with penile appearance after hypospadias surgery: the patient and surgeon view.
OBJECTIVE
We studied the degree of agreement between hypospadias patient and surgeon satisfaction with the cosmetic surgical result, and the relation between penile length, meatal position and patient satisfaction.


METHODS
Cosmetic and functional results in 35 boys with hypospadias were assessed, and a standardized questionnaire was completed by patients and surgeon.


RESULTS
There was hardly any agreement between patient and surgeon satisfaction with patient penile appearance. Patients were less satisfied than the surgeon. No significant correlation was noted between penile satisfaction and penile length. Patients with a retracted meatus were less satisfied with the meatal position than those with a glanular meatus. Of the 35 patients 4 underwent repeat surgery after our study.


CONCLUSIONS
Hypospadias surgeons should explicitly asked if patients are satisfied and they should follow patients through adolescence.
Mureau
M A
MA
Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, University Hospital Rotterdam, The Netherlands.
Slijper
F M
FM
Slob
A K
AK
Verhulst
F C
FC
Nijman
R J
RJ
D000293:Adolescent; D002648:Child; D013502:General Surgery; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction