PSYCHOSEXUAL ADJUSTMENT OF MEN WHO UNDERWENT HYPOSPADIAS REPAIR - A NORM-RELATED STUDY

Purpose: Psychosexual adjustment, sexual functioning and genital appra isal were studied in adult hypospadias patients. Materials and Methods : A total of 73 hypospadias patients and 50 comparison subjects receiv ed a semi-structured interview. Results: More hypospadias patients (32 .8%) than comparison subjects (12.8%) had been inhibited in seeking se xual contacts. Hypospadias patients reported a more negative genital a ppraisal than comparison subjects but did not have a different sexual adjustment. The severity of hypospadias negatively affected genital ap praisal. Patient age at final operation positively correlated with soc iosexual development. Many patients (37%) desired functional or cosmet ic penile improvement. Conclusions: The majority of hypospadias patien ts experienced a normal adult sex life. They were reluctant to seek ad vice for problems. We recommend followup of patients through adolescen ce.