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19–22 APRIL, 2017, BARCELONA, SPAIN
11:47–11:50
S8-2 (PP)
★
SEXUALITY AND FERTILITY IN MEN WITH HYPOSPADIAS;
IMPROVED OUTCOME
Lisa ÖRTQVIST
1
, Magdalena FOSSUM
2
, Marie ANDERSSON
3
,
Anna NORDENSTRÖM
4
, Louise FRISÉN
5
and Gundela HOLMDAHL
6
1) Womens and children’s health, Unit of Pediatric Surgery, Astrid Lindgren Children’s Hospital, Stockholm,
SWEDEN - 2) Womens and children’s health, Pediatric surgery department, Stockholm, SWEDEN - 3) Sahlgrenska
Academy, Women’s and Children’s Health, Gothenburg, Sweden, Department of Pediatric Surgery, Gothenburg,,
SWEDEN - 4) Womens and children’s health, Department of Pediatric Endocrinology, Stockholm, SWEDEN - 5) Child
and Adolescent Psychiatry Research Center, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm,
SWEDEN - 6) Sahlgrenska Academy, Women’s and Children’s Health, Gothenburg, Sweden, Department of Pediatric
Surgery, Queen Silvia’s Children’s Hospital, Göteborg, SWEDEN
PURPOSE
This study aimed to investigate sexual function and fertility in adult men born with hypospadias.
MATERIAL AND METHODS
Patients born with hypospadias, age-matched controls, and a group of circumcised men completed
a questionnaire constructed to reflect their psychosexual situation and fertility. Gender related
development was also assessed.
RESULTS
167 patients (63% distal, 24% mid shaft and 13% proximal, mean age 34 [19-54] years), 169 con-
trols from the general population (mean age 33 [19-48] years) and 47 controls circumcised due to
phimosis (mean age 26 [19-44] participated and completed the questionnaire.
There were no differences in having a partner, reported fertility, age at sexarche (mean age 17.8),
number of sex partners or sexual interest between the patients and controls. More patients reported
anejaculation. Glanular sensitivity was reported to be lower in hypospadias patients and circum-
cised controls compared with non-circumcised controls. The odds of being satisfied with their sexual
life increased with a higher penile perception score in patients (OR=1.54, p=0.01). There was no
association with penile length. Sexual orientation, core gender identity and gender role behavior
were sex-typical in both patients and controls. Patients with proximal hypospadias had a lower
reported fertility, experienced anejaculation more often, and were less satisfied with their sexual life.
CONCLUSIONS
Men born with hypospadias have a good long-term outcome concerning sexual function and fertility
as well as gender related development. Since satisfaction with genital appearance is important for
sexual life satisfaction, clinical and psychological follow-up into adulthood is especially important in
boys born with proximal hypospadias.