title: Sexual behavior and sexual function of adults after hypospadias surgery: a comparative study.
abstract: 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.
authors.affiliation: Department of Pediatric Urology, University Children's Hospital, Clinical Center, Nis.
authors.forename: Tatjana B
authors.initials: TB
authors.lastname: Bubanj
authors.forename: Sava V
authors.initials: SV
authors.lastname: Perovic
authors.forename: Ruzica M
authors.initials: RM
authors.lastname: Milicevic
authors.forename: Stevan B
authors.initials: SB
authors.lastname: Jovcic
authors.forename: Zoran O
authors.initials: ZO
authors.lastname: Marjanovic
authors.forename: Miroslav M
authors.initials: MM
authors.lastname: Djordjevic
mesh_terms: 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