More and more studies on long-term outcomes of paediatric operations are being published, many of which concentrate on health-related quality of life (HRQol) scores. This paper compared 45 men with corrected hypospadias (mean age 26.2 years +/- 5.1 years) with 46 men who had just been circumcised (mean age 25.5 years +/- 4.9). Three questionnaires were used (SF36, International Index of Erectile Dysfunction – IIEF, Penile Perception Score – PPS). Initial questionnaires were sent to a random sample of 218 hypospadias patients and 328 circumcised patients with a high non-return rate or exclusion rate for other reasons. Multiple regression analysis suggested no variable was significantly associated with better physical HRQol. There was a better mental HRQol for patients with a more positive PPS and orgasmic function (OF). The authors explore possible reasons why adults with corrected hypospadias have normal HRQols compared to circumcised men but understand the limitations of the study which include a high non-return rate of questionnaires, and no normal uncircumcised controls. The finding that reduced mental HRQol scores occurred leads the authors to stress that children post hypospadias surgery require ongoing support through childhood and adolescence to develop a positive genital self-perception and satisfactory orgasmic function.

Health-related quality of life in men with corrected hypospadias: An explorative study.
Ruppen-Greef NK, Weber DM, Gobet R, et al.
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Henrik Steinbrecher

Southampton University Hospital NHS Trust

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