Objective and subjective sexual outcomes in adult patients after hypospadias repair performed in childhood

Boris Chertin, Aladin Natsheh, Itzhak Ben-Zion, Dan Prat, Stanislav Kocherov, Amicur Farkas, Ofer Z. Shenfeld

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


Purpose We evaluated sexual function and psychosexual adjustment in adults who underwent hypospadias repair in childhood. Materials and Methods After receiving institutional review board approval, 119 of 449 adult patients (26.6%) who underwent hypospadias repair between 1978 and 1993 responded to questionnaires on penile appearance and sexual life. Patients were divided into 3 groups according to primary meatal location in childhood, including group 1 - 45 (37.8%) with glanular hypospadias, group 2 - 56 (48.2%) with distal hypospadias and group 3 - 18 (14%) with proximal hypospadias. Results All group 1 and 2 patients, and 11% in group 3 were satisfied with the penile appearance. Of group 1 patients 8.9% reported mild erectile dysfunction, as did 50% and 72.2% in groups 2 and 3, respectively. A total of 99 patients (83.2%) complained of premature ejaculation. All group 1 and 2 patients reported excellent self-esteem and relationship on the Self-Esteem and Relationship questionnaire. Most group 3 patients were satisfied with their relationship and only 1 (5.6%) was not satisfied. Two-thirds of the patients in groups 1 and 2 reported that sexual quality of life was excellent and the others described it as good. In group 3 sexual quality of life was somewhat decreased in all patients and 1 (5.6%) had poor sexual quality of life. Physical and mental component summaries were satisfactory in all patients reviewed. Conclusions Our data show that the high incidence of mild erectile dysfunction and premature ejaculation should not be disregarded and requires appropriate counseling before surgery.

Original languageEnglish
Pages (from-to)1556-1560
Number of pages5
JournalJournal of Urology
Issue number4 SUPPL
StatePublished - 1 Jan 2013
Externally publishedYes


  • erectile dysfunction
  • hypospadias
  • penis
  • psychosexual development
  • questionnaires

ASJC Scopus subject areas

  • Urology


Dive into the research topics of 'Objective and subjective sexual outcomes in adult patients after hypospadias repair performed in childhood'. Together they form a unique fingerprint.

Cite this