Psychosexual Adjustment of Men Who Underwent Hypospadias Repair: Norm-Related Study

Abstract

Psychosexual adjustment, sexual functioning and genital appraisal were studied in adult hypospadias patients. A total of 73 hypospadias patients and 50 comparison subjects received a semi-structured interview. More hypospadias patients (32.8%) than comparison subjects (12.8%) had been inhibited in seeking sexual contacts. Hypospadias patients reported a more negative genital appraisal than comparison subjects but did not have a different sexual adjustment. The severity of hypospadias negatively affected genital appraisal. Patient age at final operation positively correlated with sociosexual development. Many patients (37%) desired functional or cosmetic penile improvement. The majority of hypospadias patients experienced a normal adult sex life. They were reluctant to seek advice for problems. We recommend followup of patients through adolescence.