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Quality of life in young men with multiple hypospadias repair in childhood
Article published in Urologia Polska 2004/57/4.

authors

Andrzej Paradysz, Marcin Życzkowski, Andrzej Kupilas, Mieczysław Fryczkowski
Katedra i Klinika Urologii w Zabrzu Śląskiej Akademii Medycznej w Katowicach
Kierownik kliniki: prof. dr hab. Mieczysław Fryczkowski

keywords

quality of life, hypospadias

summary

the purpose of the study
The quality of life in young men who were multiply operated on (at least twice) because of hypospadias in childhoood was evaluated.
materials and methods
Of 221 patients operated on because of hypospadias 49 men aged >18 years were enrolled. They were subjected to several operations. 23 (46,9%) of them were eligible for the study. The penis appearance also during erection and external urethral orifice location were evaluated. Our own questionnaire was used. It allowed to evaluate the subjective appraisal of external genitalia appearance, micturition, sexual satisfaction and activity. Self-esteem was analyzed basing on Beck's scale. Uroflow was performed in all patients.
results
External urethral orifice was located on the tip of the penis glans in 14 patients, on the ventral surface of the glans in 6 patients (26,09%) and within corona glandis in 3 (13,04%) patients. The penis was straight during erection in 20 (86,96%) patients. In three patients (13,04%) small curvature of the penis was observed. 73,91% of patients estimated their external genitalia appearance as good. 91,3% of patients did not have any problems with micturition. Among 14 patients (60,9%) who started their sexual activity none demonstrated problems with erection or ejaculation and 85,72% of them were pleased for their present sexual efficiency. Mean TQmax was 7,91s and mean Qmax 19,43 ml/s.
conclusions
1. The number of operations performed due to hypospadias in childhood is not associated with the quality of life in adulthood.
2. Subjective patients opinion concerning penis appearance is better than the medical opinion.
3. Self-esteem of patients is not deteriorated by the location of external urethral orifice on other then the tip of penis glans.
4. Uroflow confirmed proper micturition.

references

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  4. Gerharz EW, Eiser C, Woodhouse CRJ: Współczesne koncepcje oceny jakości życia u dzieci i młodzieży. 2003 Polska Edycja EBU Updates Series; 30-34.
  5. Mureau MAM, Slijper FME, Nijman RJM, Van Der Meulen JC, Verhulst FC: Psychosexual adjustment of children and adolescents after different types of hypospadias surgery: a norm-related study. J Urol 1995; 154: 1902-1907.
  6. Berg R, Svensson J, Astrom G: Social and sexual adjustment of men operated for hypospadias during childhood: a controlled study. J Urol 1981; 125: 313-317.
  7. Aho MO, Tammela OKT, Somppi EMJ, Tammela TLJ: A long term comparative follow up study of voiding, sexuality and satisfaction among men operated for hypospadias and phimosis during childhood. Eur Urol 2000; 37: 95-101.
  8. Kenawi MM: Sexual function in hypospadiacs. Br J Urol 1976; 47: 883-890.

correspondence

Andrzej Paradysz
Katedra i Klinika Urologii ŚAM
ul. 3 Maja 13/15
41-800 Zabrze