ESPU Congress 2017 - Abstract book

CONGRESS OF THE ESPU

12:08–12:11

S8-5 (PP)

ERECTILE FUNCTION AND MICTURITION OF MEN

WITH NON-CORRECTED HYPOSPADIAS

Norma Katharina RUPPEN-GREEFF, Rita GOBET and Daniel Max WEBER

University Children’s Hospital, Division of Pediatric Urology, Zurich, SWITZERLAND

PURPOSE

Studies about the functional outcome of non-corrected hypospadias are scarce. Therefore, this

study investigates the erectile function and micturition of men with non-corrected hypospadias.

MATERIAL AND METHODS

In a cross-sectional survey, 50 men with non-corrected hypospadias (glandular: 17; coronal: 29;

penile: 4; age range: 20-75 years; mean age: 53.62 years, SD: 13.87) were asked to answer the

International Index of Erectile Function questionnaire (IIEF) to measure their erectile function (ef),

and a self-developed questionnaire regarding their micturition. Referring urologists examined and

classified the type of hypospadias.

RESULTS

Seven men had no partner at the time of the survey and five did not answer the IIEF. These men

(n=12) were excluded from calculations concerning erectile function.

Thirty of 38 men (78.9%) had no erectile dysfunction. Two (5.3%) reported to have a “mild” dysfunc-

tion, two (5.3%) a “mild to moderate” dysfunction, one (2.6%) to have a “moderate” dysfunction and

three (7.9%) to have a “severe” dysfunction. Severity of hypospadias did not correlate with erectile

function (ef).

Most men were able to urinate in a standing position (n= 30/50; 60%) and did not wish a hypo-

spadias repair at the time of the survey (n=44/50; 88%). Only five of 50 men (10%) believed that

hypospadias should be generally operated based on parental consent around the first birthday.

CONCLUSIONS

The majority of men reported to have no erectile dysfunction and the ability to urinate in a standing

position. Most men did not wish a hypospadias correction and disagreed to hypospadias repair

based upon parental consent in early childhood.

12:11–12:14

S8-6 (PP)

A PROSPECTIVE STUDY COMPARING TWO HYPOSPADIAS

DRESSINGS: DOES MORE EXPENSIVE MEAN BETTER?

Christopher LUTTERODT

, Anastasia MENTESSIDOU

, Diane DE CALUWE

Nisha RAHMEN

and Marie-Klaire FARRUGIA

1) Chelsea and Westminster Hospital, Department of Paediatric Surgery, Chelsea, UNITED KINGDOM - 2) Chelsea and

Westminster Hospital, Paediatric Surgery, London, UNITED KINGDOM

PURPOSE

A number of post-hypospadias repair compressive dressings have been described ranging from

simple gauze dressings to commercially-available (more costly) dressings. We questioned whether

dressing cost made a difference to outcome.