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S12-6
(PP)
SEXUAL FUNCTION AND SUBJECTIVE PERCEPTION OF SEXUALITY OF MEN AFTER
HYPOSPADIAS REPAIR
Norma RUPPEN-GREEFF, Rita GOBET and Daniel M. WEBER
University Children's Hospital Zurich, Pediatric Surgery, Zurich, SWITZERLAND
PURPOSE
Besides achieving a normal penile appearance and micturition, current hypospadias treatment aims at enabling a
satisfying sexuality. However, there are only few studies, all with some methodological limitations, regarding sexual
long-term outcome after hypospadias repair. Therefore, the aim of the present study was to evaluate the sexuality of
men with corrected hypospadias.
MATERIAL AND METHODS
In a cross-sectional study, 40 men with corrected hypospadias (18 distal, 22 proximal; mean-age: 25.9 y) and a control
group of 42 circumcised men (mean-age: 25.5 y) were asked to answer 2 questionnaires: The International Index of
Erectile Function (IIEF) to measure erectile function (EF), and a survey concerning sexuality.
RESULTS
Results showed that men with corrected hypospadias have the same sexual function as circumcised men. Caressing of
their partners, petting and sexual intercourse were found in a similar frequency. Furthermore, they reported the same
number of sexual partners and the same erectile function (EF) as circumcised men. Regarding their subjective
evaluation of their sexuality, men with corrected hypospadias felt significantly less comfortable while caressing their
partners and were significantly less satisfied with petting compared to circumcised men.
CONCLUSIONS
Our results showed that current hypospadias treatment concepts are very promising. Men with corrected hypospadias
reported the same sexual function as circumcised men. However, regarding their subjective evaluation of their sexuality,
men with corrected hypospadias felt more negative during certain sexual activities. Therefore, future hypospadias
treatment should not only focus on improving surgical techniques but also on supporting young hypospadias patients
and their parents psychologically to achieve a positive psychosexual development.