Long-term sexual activity status and influencing factors in men after surgery for hypospadias

Abstract

The aim of this study was to compare the long-term postoperative status of hypospadiac patients by analysing their sexual psychology, sexual behaviour, sexual function and influencing factors. A total of 130 hypospadiac patients hospitalized between January 1988 and December 2007 were followed up with questionnaires using Zung's Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), a self-designed sexual function questionnaire and a 5-item version of the International Index of Erectile Function (IIEF-5). The surveys served to evaluate the effects of hypospadias type, number of operations and surgical procedures on sexual psychology, sexual behaviour and sexual function. The control group consisted of 50 healthy adults. The postoperative SDS / SAS scores and occurrences of depression/anxiety in hypospadiac patients were significantly higher than those of normal controls (P < 0.001). Patients with proximal hypospadias and multiple procedures differed from those with distal hypospadias and a single procedure in all parameters of sexual psychology (P < 0.05). The average penile lengths and circumferences of hypospadiac patients under either erect or flaccid conditions were significantly shorter than those of normal controls (P < 0.001). A similar difference existed between patients with distal and proximal hypospadias (P < 0.01). There was no significant difference in any parameter of sexual function between patients with different numbers of operations and surgical procedures. Hypospadiac patients were clearly impaired in sexual psychology and penile development. The severity of hypospadias and number of operations were key factors that influenced the sexual psychology of patients. This finding indicated the importance of long-term follow-up and psychological counselling for hypospadiac patients postoperatively.

Long-Term Psychological and Sexual Outcomes of Severe Penile Hypospadias Repair

“…Wang et al. demonstrated that subjects undergoing multiple operations have lower scores on anxiety and depression scales but show no difference in sexual behavior when compared to subjects undergoing a single operation [13]. These aspects, therefore, cannot be addressed by our study.…”

“…Due to a hypospadias and its subsequent correction, this process may be disturbed by a potential functional or cosmetic problem with the penis. Despite this, only a few studies report on patients’ long‐term satisfaction and sexual and psychosexual consequences [8–20]. These studies, however, have shown contradictory results.…”

Analysis of the association between paternity and reoperation for urethral obstruction in adult hypospadias patients who underwent two-stage repair in childhood

“…Because this study is a sub-analysis of our previous study, it has the same kind of limitation as have been already documented in the earlier report. One drawback, inevitable in this type of study, was the limited response rate to the questionnaires, although our response rate at 28.4% was comparable to that in other similar studies [6, 14]. Limited response can cause selection bias, but we would like to note that there was no significant difference in background between the responders and non-responders with respect to hypospadias severity as reported in the previous study [15] and the type of initial repair procedure as described in this report.…”

Relationship Between Urine Bisphenol‐A Level and Declining Male Sexual Function

“…Questions about sexual function were based on the International Index of Erectile Function and the Brief Male Sexual Function Inventory (O'Leary et al, 1995; Rosen et al, 1997; Mykletun et al, 2006). These instruments have been used in the Chinese population in many previously reported studies (He et al, 1976; Yu et al, 2007; Guo et al, 2009; Wang et al, 2009; Xie et al, 2009).…”