[Hypospadias: results and psychologic impact].

UNLABELLED: Twenty adults who had undergone operations in their childhood for hypospadias using Cloutier's technique, were studied. The parameters analized were 1) clinical data. On a escale 0 to 10, the following aspects were considered: 2) patient's evaluation of their genitals; 3) patient's evaluation of their sexual activity; 4) exploration of patient's genitals by the surgeon; 5) psychological aspects and repercussions.

RESULTS

1) 68 operations were carried on 19 fistules, 2 meatotomies, 6 preputioplasties. 2) Penis sizes: 7.15; glans: 7.5; urethral meatus caliber: 8.9; scrotum: 8.95; prepuce: 5. Average final evaluation: 7.75. 3) Average age first masturbation: 13.5 years; average age first sexual relation: 18 years; degree of satisfaction in sexual relations: 8.45. 4) Average penis length: 8.45; penis perimeter: 8 cm; micturition flow: 8; glans: 7.8; scrotum: 9; prepuce: 5; average evaluation: 7.42. 5) Fear before operation, fear and axiety before sexual relations 100%; withdrawn character, complexes and shyness: 70%.

CONCLUSIONS

Anatomical, aesthetic and functional results were very good in spite of the high degree of complications. Patient's and the surgeon's evaluation were very similar. In some cases, psychological support may be necessary.