Patient-reported long-term outcome after primary hypospadias repair.
OBJECTIVE
Long-term evaluation of the surgical outcome after puberty, particularly patient reported outcome is rare in the literature. The aims of this study were to investigation the patients' satisfaction with the long-term results and their views and memories of their childhood surgery and follow-up.


METHODS
A modified version of previously used questionnaire was sent to 134 patients ages 18 years or older previously primarily repaired due to hypospadias by one of the authors (HS) between 1989 -2009.


RESULTS
Thirty-nine patients responded. Eighty-two per cent were satisfied with the appearance of their penis, 87% were satisfied with their ability to urinate and their sexual function and 92% were satisfied with the overall surgical results. Ninety per cent of patients were positive to the current duration of our post-pubertal follow-up program or would have preferred an even longer follow-up.


CONCLUSIONS
The majority of patients were satisfied with the long-term surgical results and the duration of follow-up. Despite having problems patients does not always contact the health care system spontaneously, which warrants long-term follow-up.
a Department of Clinical Sciences in Malmö , Lund University , Lund , Sweden.|b Department of Paediatric Surgery , Skåne University Hospital , Lund , Sweden.
Ann
A
Nozohoor Ekmark
b Department of Paediatric Surgery , Skåne University Hospital , Lund , Sweden.|c Department of Clinical Sciences Lund , Lund University , Lund , Sweden.
Einar
E
Arnbjörnsson
a Department of Clinical Sciences in Malmö , Lund University , Lund , Sweden.|d Department of Plastic and Reconstructive Surgery , Skåne University Hospital , Lund , Sweden.
Henry
H
Svensson
a Department of Clinical Sciences in Malmö , Lund University , Lund , Sweden.|d Department of Plastic and Reconstructive Surgery , Skåne University Hospital , Lund , Sweden.
Emma
E
Hansson
D000293:Adolescent; D004954:Esthetics; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D014554:Urination; D055815:Young Adult
HOSE; Patient reported outcome; hypospadias repair; sexual function; surgical outcome; urinary function