Abstract
Hypospadias is a common problem affecting approximately one boy in 300; it is usually corrected in the first few years of life. While early outcome data is widely available, little has been reported on the long-term problems that these men suffer. Data suggest that the majority of men have no lasting effects, but up to 40% with severe hypospadias can have some degree of voiding problems. In addition, sexual problems affecting erection, ejaculation and sexual sensation have now been reported in more than 20% of men, although these studies are few and contain only a small number of patients. This limited available data support the need for further long-term studies especially focusing on the more modern techniques.
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References
Baskin L, Duckett J (1994) Dorsal tunical albuginea plication for hypospadias curvature. J Urol 151:1668–1671
Baskin L, Duckett J, Ueoka K, Seibold J, Snyder H (1994) Changing concepts of hypospadias curvature lead to more onlay island flap procedures. J Urol 151:191–196
Boddy SA, Samuel M (2000) Mathieu and ‘V’ incision sutured (MAVIS) results in a natural glanular meatus. J Pediatr Surg 35(3):494–496
Bracka A (1995) Hypospadias repair: the two-stage alternative. Br J Urol 76(Suppl 3):31–41
Bubanj TB, Perovic SV, Milicevic RM, Jovcic SB, Marjanovic ZO, Djordjevic MM (2004) Sexual behavior and sexual function of adults after hypospadias surgery: a comparative study. J Urol 171(5):1876–1879
Chertin B, Koulikov D, Fridmans A, Farkas A (2004) Dorsal tunica albuginea plication to correct congenital and acquired penile curvature: a long-term follow-up. BJU Int 93(3):379–381
Dewan P, Dineen M, Winkle D, Duffy P, Ransley P (1991) Hypospadias: Duckett pedicle tube urethroplasty. Eur Urol 20:39–42
Duckett J, Snyder H (1992) Meatal advancement and glanuloplasty hypospadias repair after 1,000 cases: avoidance of meatal stenosis and regression. J Urol 147:665–669
Fichtner J, Filipas D, Fisch M, Hohenfellner R, Thuroff JW (2004) Long-term followup of buccal mucosa onlay graft for hypospadias repair: analysis of complications. J Urol 172(5 Pt 1):1970–1972
Gurdal M, Tekin A, Kirecci S, Sengor F (2004) Intermediate-term functional and cosmetic results of the Snodgrass procedure in distal and midpenile hypospadias. Pediatr Surg Int 20(3):197–199
Hammouda HM, El-Ghoneimi A, Bagli DJ, McLorie GA, Khoury AE (2003) Tubularized incised plate repair: functional outcome after intermediate followup. J Urol 169(1):331–333
Hastie KJ, Deshpande SS, Moisey CU (1989) Long-term follow-up of the MAGPI operation for distal hypospadias. Br J Urol 63(3):320–322
Lam PN, Greenfield SP, Williot P (2005) 2-stage repair in infancy for severe hypospadias with chordee: long-term results after puberty. J Urol 174(4 Pt 2):1567–1572
Miller MA, Grant DB (1997) Severe hypospadias with genital ambiguity: adult outcome after staged hypospadias repair. Br J Urol 80(3):485–488
Mouriquand P, Persad R, Sharma S (1995) Hypospadias repair: current principles and procedures. Br J Urol 76(Suppl 3):9–22
Mureau M, Slijper F, Slob A, Verhulst F (1997) Psychosocial functioning of children, aldolescents, and adults following hypospadias surgery: a comparative study. J Pediatr Psychol 22(3):371–387
Nelson CP, Bloom DA, Kinast R, Wei JT, Park JM (2005) Long-term patient reported outcome and satisfaction after oral mucosa graft urethroplasty for hypospadias. J Urol 174(3):816–817
Nelson CP, Bloom DA, Kinast R, Wei JT, Park JM (2005) Patient-reported sexual function after oral mucosa graft urethroplasty for hypospadias. Urology 66(5):1086–1089
Nuininga JE, DE Gier RP, Verschuren R, Feitz WF (2005) Long-term outcome of different types of 1-stage hypospadias repair. J Urol 174(4 Pt 2):1544–1548
Orkiszewski M, Leszniewski J (2004) Morphology and urodynamics after longitudinal urethral plate incision in proximal hypospadias repairs: long-term results. Eur J Pediatr Surg 14(1):35–38
Patel RP, Shukla AR, Snyder HM III (2004) The island tube and island onlay hypospadias repairs offer excellent long-term outcomes: a 14-year followup. J Urol 172(4 Pt 2):1717–1719
Rajfer J, Walsh P (1976) The incidence of intersexuality in patients with hypospadias and cryptorchidism. J Urol 116:769–770
Samuel M, Wilcox DT (2003) Tubularized incised-plate urethroplasty for distal and proximal hypospadias. BJU Int 92(7):783–785
Snodgrass W (1994) Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 151(2):464–465
Snodgrass W, Koyle M, Manzoni G, Hurwitz R, Caldamone A, Ehrlich R (1996) Tubularized incised plate hypospadias repair: results of a multicenter experience. J Urol 156:839–841
Snodgrass W (1999) Does tubularized incised plate hypospadias repair create neourethral strictures? J Urol 162(3 Pt 2):1159–1161
Unluer ES, Miroglu C, Ozdiler E, Ozturk R (1991) Long-term follow-up results of the MAGPI (meatal advancement and glanuloplasty) operations in distal hypospadias. Int Urol Nephrol 23(6):581–587
Ververidis M, Dickson AP, Gough DC (2005) An objective assessment of the results of hypospadias surgery. BJU Int 96(1):135–139
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Wilcox, D., Snodgrass, W. Long-term outcome following hypospadias repair. World J Urol 24, 240–243 (2006). https://doi.org/10.1007/s00345-006-0059-1
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DOI: https://doi.org/10.1007/s00345-006-0059-1