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S14-14
(P)
THE SIGHT QUESTIONNAIRE - ACCESSING SATISFACTION IN GENITAL
HYPOSPADIA REPAIRS
Peter ARDELT
1
, Michael BARTH
2
, Marco CEDERQVIST
3
and Alexander FRANKENSCHMIDT
3
1) University Hospital Basel, Urology, Basel, SWITZERLAND - 2) University Hospital Freiburg, Department of Paediatric
Psychology, Freiburg, GERMANY - 3) University Hospital Freiburg, Paediatric Urology, Freiburg, GERMANY
PURPOSE
Patient satisfaction after hypospadias repair is a complex interaction of functional, cosmetic and psychosexual aspects.
Most studies focus on objective items, such as functionality and cosmetics. Few studies investigate the psychosexual
long-term satisfaction. The purpose of this study was to establish a questionnaire addressing the psychosexual long-
term satisfaction of patients after hypospadia repair.
MATERIAL AND METHODS
In a multistep approach we first identified key interests of adolescent hypospadias patients. Next, with these a
questionnaire addressing the psychosexual satisfaction was established. A population of 109 former hypospadias
patients was then assessed using this questionnaire. Furthermore, functional and cosmetic aspects were investigated.
Age matched patients undergoing circumcision served as control. Possible influence factors on the satisfaction were
investigated.
RESULTS
Key interests of adolescent patients were normal appearance and function of the penis, sexual activity, and masculinity.
The “Satisfaction In Genital Hypospadias Treatment” (SIGHT ) questionnaire was developed with these items. Nine
questions address the psychosexual aspects and two additional questions the current sexual activity. Internal
consistency was high and retest reliability acceptable. The patient population showed a normal strength and difficulties
score (SDQ). Overall satisfaction was high and similar to that of the control group. In a regression analysis a high SDQ
value, erectile problems and any impairment of penile functions correlated negatively with the satisfaction.
CONCLUSIONS
The SIGHT questionnaire allows a relevant and objective measurement of psychosexual satisfaction after hypospadias
repair.