Satisfaction with Penile Appearance after Hypospadias Surgery: The Patient and Surgeon View
Accepted 23 June 1995.
Abstract
Purpose
We studied the degree of agreement between hypospadias patient and surgeon satisfaction with the cosmetic surgical result, and the relation between penile length, meatal position and patient satisfaction.
Materials and Methods
Cosmetic and functional results in 35 boys with hypospadias were assessed, and a standardized questionnaire was completed by patients and surgeon.
Results
There was hardly any agreement between patient and surgeon satisfaction with patient penile appearance. Patients were less satisfied than the surgeon. No significant correlation was noted between penile satisfaction and penile length. Patients with a retracted meatus were less satisfied with the meatal position than those with a glanular meatus. Of the 35 patients 4 underwent repeat surgery after our study.
Conclusions
Hypospadias surgeons should explicitly ask if patients are satisfied and they should follow patients through adolescence.
Departments of Child and Adolescent Psychiatry and Pediatric Urology, Sophia Children's Hospital, University Hospital Rotterdam, Department of Plastic and Reconstructive Surgery, Dijkzigt Hospital, and Department of Endocrinology and Reproduction, Faculty of Medicine and Health Sciences, Erasmus University Rotterdam, The Netherlands.
Supported by the Sophia Foundation for Medical Research.
ABSTRACT