PSYCHOSEXUAL ADJUSTMENT OF CHILDREN AND ADOLESCENTS AFTER DIFFERENT TYPES OF HYPOSPADIAS SURGERY - A NORM-RELATED STUDY

Purpose: We studied the psychosexual adjustment, sexual behavior and g enital appraisal of 9 to 18-year-old hypospadias patients. Materials a nd Methods: We interviewed 116 hypospadias patients and 88 comparison subjects in a semi-structured manner. Results: Hypospadias patients ha d a more negative genital appraisal and anticipated more ridicule by a partner because of penile appearance than comparison subjects but the y did not have a different sexual adjustment. No significant impact of medical treatment (surgical procedures, number of operations or age a t final surgery) was noted. Many hypospadias patients (38.8%) desired functional or cosmetic penile improvement. Conclusions: In addition to procedures that bring the meatus to a more terminal position, those t hat bring it more ventral can be performed without negatively affectin g psychosexual adjustment. Hypospadias patients were reluctant to seek advice for problems and, therefore, they should be followed through a dolescence.