Sexual behavior and sexual function of adults after hypospadias surgery: a comparative study.
OBJECTIVE
We assessed sexual behavior and sexual function in adults operated on for hypospadias.


METHODS
Long-term psychosexual adjustment was assessed with a standardized questionnaire which was mailed to 57 patients with hypospadias older than 18 years and 60 age matched normal control subjects.


RESULTS
A total of 37 patients with hypospadias and 39 controls participated. Self-reported strength of libido on a scale of 1 to 5 was shown to be similar in the 2 groups. Patients with hypospadias did not have problems in achieving erection and average self-rated quality of erection ranging from 1 to 5 was the same as that of controls (mean value 4.5). Patients with hypospadias noted curvature in a downward direction in a significantly higher proportion compared to controls (40% vs 18%, respectively). There were 13 patients with hypospadias who had ejaculation difficulties, of whom 6 had spraying and 7 had only dribbling of ejaculate. Patients with hypospadias masturbated significantly less often, were significantly less sexually active and had a smaller total number of sexual partners compared to control subjects. Control subjects were significantly more completely satisfied with their sexual life compared to patients with hypospadias (76.92% vs 51.35%, respectively).


CONCLUSIONS
Sexual function of patients who underwent surgery for hypospadias in general is not affected. However, there is clearly a difference in certain aspects of sexual behavior between patients with hypospadias and controls. Followup and adequate counselling of patients who underwent surgery for hypospadias in adult life is necessary.
Bubanj
Tatjana B
TB
Department of Pediatric Urology, University Children's Hospital, Clinical Center, Nis.
Perovic
Sava V
SV
Milicevic
Ruzica M
RM
Jovcic
Stevan B
SB
Marjanovic
Zoran O
ZO
Djordjevic
Miroslav M
MM
D000328:Adult; D003075:Coitus; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D010410:Penile Erection; D012725:Sexual Behavior; D013997:Time Factors