ESPU Congress 2018 - Abstract Book

CONGRESS OF THE ESPU

S8: ADOLESCENT UROLOGY 1

Moderators: Radim Kocvara (Czech Republic), Hezi Landau (Israel)

ESPU Meeting on Thursday 12, April 2018, 11:45–12:15

11:45–11:48

S8-1 (PP)

★

LONG-TERM FOLLOW-UP OF ADOLESCENTS OPERATED

FOR PROXIMAL HYPOSPADIAS; ARE PSYCHOSOCIAL

AND SEXUAL OUTCOMES AFFECTED?

Marie ANDERSSON

, Lisa ÖRTQVIST

, Agneta NORDENSKJÖLD

Sofia SJÖSTRÖM

and Gundela HOLMDAHL

1) The Sahlgrenska Academy, Department of Pediatric Urology, Queen Silvia's Children's Hospital, Sahlgrenska

University Hospital, Gothenburg, SWEDEN - 2) Karolinska Institutet, Department of Pediatric Surgery, Astrid Lindgren

Children's Hospital, Karolinska University Hospital, Stockholm, SWEDEN

PURPOSE

Long-term studies of psychosocial and sexual outcomes after hypospadias surgery are few with

diverging results, often not considering grade of hypospadias. We hypothesized that psychosocial

outcomes and sexual aspects of hrQoL in adolescents with proximal hypospadias are negatively

affected and tested this in a prospective matched control study.

MATERIAL AND METHODS

57 young men ≥ 14 years operated between 1996–2005 for penoscrotal to perineal hypospadias

at a single center were identified. 33 patients, Md age 17.5 years (14–25) accepted clinical assess-

ment and answered a web-based questionnaire, designed to reflect social factors, general wellbe-

ing, body esteem, penile perception and sexual well-being including the validated tests PGWB

(Psychological General Well Being), BESAA (Body Esteem of Adults and Adolescents) and PPPS

(Pediatric Penile Perception Score). 25 age-matched healthy men, Md age 17.5 years (14–25) and

31 patients treated for distal hypospadias, Md age 19 years (14–35) served as controls.

RESULTS

No differences in educational levels were found, but extra support in school was more frequent

among boys with proximal hypospadias (p=0.024 vs distal, p=0.068 vs control).

There were no differences regarding PGWB, BESAA or PPPS. Proximal hypospadias patients were

more unsatisfied with penile length (39 %) compared to controls (12 %) (p=0.049).

No difference in satisfaction regarding meatal position, shape of glans, penile skin or glanular

sensibility (controls uncircumcised) was found. Interest in sex, age at sexarche and satisfaction with

sexual experiences were comparable although among proximal hypospadias 3/30 (10 %) reported

occasional erectile problems and 11/28 (39 %) uncertainty regarding ejaculation (p=0.032 and

p=0.0054 vs distal, ns vs control).

CONCLUSIONS

Adolescents with proximal hypospadias showed no differences in psychosocial and sexual outcome

in most regards. Despite concerns regarding penile length, sexual experiences were comparable

to other adolescents.