title: Functional, cosmetic and psychosexual results in adult men who underwent hypospadias correction in childhood.
abstract: OBJECTIVE
  Long-term results of hypospadias repair are scarce. Previous reviews mostly described mid-term results making extrapolation to long-term results difficult. This systematic review on long-term results in postpubertal men after hypospadias repair in childhood, aims to inform urologists and parents of a newborn boy with hypospadias about future expectations.
  
  
  METHODS
  The Pubmed/Medline and Embase databases were searched until February 2010. Inclusion criteria stated that patients with hypospadias were operated before the age of 6 years and were older than 14 years at follow up. Results were pooled and analyzed using SPSS 16.0. Data on proximal hypospadias patients and controls are described separately.
  
  
  RESULTS
  Twenty eligible studies investigating micturition, cosmesis and psychosexual functioning were found. Hypospadias patients report more urinary symptoms and have a lower Qmax than controls. Patients are less satisfied with penile appearance compared to controls. Objectively assessed cosmetic results are good. Sexually, patients are as active as controls, but are less satisfied. Patients less often have an intimate relationships compared to controls.
  
  
  CONCLUSIONS
  Study outcomes were heterogeneous due to operation techniques and a lack of validated questionnaires and control groups. Long-term results of hypospadias patients should be measured in a prospective design using validated measurement tools.
authors.affiliation: University Medical Center Utrecht (UMC Utrecht), Heidelberglaan 100, Huispostnr. C.04.236, 3584 CX Utrecht, The Netherlands. sybrenrynja@hotmail.com
authors.forename: S P
authors.initials: SP
authors.lastname: Rynja
authors.forename: T P V M
authors.initials: TP
authors.lastname: de Jong
authors.forename: J L H R
authors.initials: JL
authors.lastname: Bosch
authors.forename: L M O
authors.initials: LM
authors.lastname: de Kort
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000503:physiopathology / Q000523:psychology / Q000601:surgery; D008297:Male; D017060:Patient Satisfaction; D011606:Psychosexual Development; D012725:Sexual Behavior / Q000502:physiology*; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods*