ESPU Congress 2018 - Abstract Book

76 29 th 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  1 , Lisa ÖRTQVIST  2 , Agneta NORDENSKJÖLD  2 , Sofia SJÖSTRÖM  1 and Gundela HOLMDAHL  1 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.