SATISFACTION WITH PENILE APPEARANCE AFTER HYPOSPADIAS SURGERY - PATIENT AND SURGEON VIEW

Purpose: We studied the degree of agreement between hypospadias patien t and surgeon satisfaction with the cosmetic surgical result, and the relation between penile length, meatal position and patient satisfacti on. Materials and Methods: Cosmetic and functional results in 35 boys with hypospadias were assessed, and a standardized questionnaire was c ompleted by patients and surgeon. Results: There was hardly any agreem ent between patient and surgeon satisfaction with patient penile appea rance. Patients were less satisfied than the surgeon. No significant c orrelation was noted between penile satisfaction and penile length. Pa tients with a retracted meatus were less satisfied with the meatal pos ition than those with a glanular meatus. Of the 35 patients 4 underwen t repeat surgery after our study. Conclusions: Hypospadias surgeons sh ould explicitly ask if patients are satisfied and they should follow p atients through adolescence.