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Comparative Study
. 2013 Oct;9(5):551-8.
doi: 10.1016/j.jpurol.2013.04.016. Epub 2013 Jun 2.

Health-related quality of life in men with corrected hypospadias: an explorative study

N K Ruppen-Greeff  1 , D M Weber, R Gobet, M A Landolt
Affiliations
Comparative Study

Health-related quality of life in men with corrected hypospadias: an explorative study

N K Ruppen-Greeff et al. J Pediatr Urol. 2013 Oct.

Abstract

Objective: The aim of the study was to evaluate health-related quality of life (HRQoL) of men with a corrected hypospadias in comparison to circumcised controls. Furthermore, determinants of HRQoL were examined.

Patients and methods: In a cross-sectional study, HRQoL of 45 men with corrected hypospadias (mean age: 26.2 years +/- 5.1) was compared with a control group of 46 circumcised men (mean age: 25.5 years +/- 4.9). Participants answered three questionnaires: The Medical Outcomes Study Short Form-36 item questionnaire (SF-36), the International Index of Erectile Function (IIEF), and the Penile Perception Score (PPS).

Results: Physical and mental dimensions of HRQoL were not impaired among men with corrected hypospadias if compared to circumcised men. Neither socio-demographic and medical variables nor erectile function (EF) predicted HRQoL. However, a negative genital self-perception (PPS) and a lower orgasmic function (OF) were risk factors for an impaired mental HRQoL.

Conclusions: Our data suggest that the HRQoL of adult hypospadias patients is comparable to that of circumcised men. However, patients should be supported in developing a positive genital self-perception, because poor genital self-perception correlated with an impaired mental HRQoL. Since studies with non-operated men suggest that some adapt well to their penile condition, further studies should also include non-operated hypospadias.

Keywords: Circumcision; Genital perception; HRQoL; Hypospadias; International index of erectile function; Quality of life.

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