title: [Long-term outcomes after hypospadias surgery: Sexual reported outcomes and quality of life in adulthood].
abstract: OBJECTIVE
  To evaluate outcomes and long-term sexual quality of life after hypospadias surgery. Seventeen-years-old patients operated for a posterior hypospadias in childhood were included in a transversal study.
  
  
  METHODS
  Fifteen patients, among the forty children treated since 1997, accepted to participate. These young men (mean age at the first surgery was 27.9±20months) were clinically reviewed and responded to questionnaires (EUROQOL 5, IIEF15 and non-validated questionnaire). This study arises about 8.4±5years after the last visit in paediatric department.
  
  
  RESULTS
  Mean study age was 21.2±4.7years. One third of patients thought that global quality of life was distorted. Although 33% of the patients had erectile dysfunction, 80% were satisfied with their sexual quality of life. The most important complains were relative to the penile appearance. Number of procedures was not predictive of patient's satisfaction about penile function and appearance. Thirty-three percents of the patients would have been satisfied to have psychological and medical support. They would be interested in having contact with patients who suffered from the same congenital abnormality.
  
  
  CONCLUSIONS
  These patients had functional and esthetical disturbances. This visit leads to a specific visit in 20% cases. In this study, medical follow-up does not seem to be counselling and had to be adapted. Adequate follow-up transition between paediatric and adult departments especially during adolescence seems to be necessary.
authors.affiliation: Service d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, allée du Pr-J.-Poulhès, TSA 50032, 31059 Toulouse cedex 9, France. Electronic address: even.l@chu-toulouse.fr.
authors.forename: L
authors.initials: L
authors.lastname: Even
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: O
authors.initials: O
authors.lastname: Bouali
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Moscovici
authors.affiliation: Service d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, allée du Pr-J.-Poulhès, TSA 50032, 31059 Toulouse cedex 9, France.
authors.forename: E
authors.initials: E
authors.lastname: Huyghe
authors.affiliation: Service d'endocrinologie pédiatrique, hôpital des enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Pienkowski
authors.affiliation: Service d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, allée du Pr-J.-Poulhès, TSA 50032, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Rischmann
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Galinier
authors.affiliation: Service d'urologie, transplantation rénale et andrologie, CHU Rangueil, 1, allée du Pr-J.-Poulhès, TSA 50032, 31059 Toulouse cedex 9, France.
authors.forename: X
authors.initials: X
authors.lastname: Game
mesh_terms: D003430:Cross-Sectional Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011788:Quality of Life; D012189:Retrospective Studies; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male; D055815:Young Adult
keywords: Adolescence; Hypospadias postérieur; Qualité de vie sexuelle; Severe hypospadias; Sexual outcomes; Sexual quality of life