Effect of hypospadias on sexual function and reproduction

Hypospadias is a highly prevalent congenital anomaly. The impact of the defect and operative interventions on sexual and reproductive function has been addressed by few publications. It is essential to know the possible outcomes of intervention for appropriate counseling, operative planning, and fol...

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Main Authors: J Chandra Singh, Venkata Rama Jayanthi, Ganesh Gopalakrishnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2008;volume=24;issue=2;spage=249;epage=252;aulast=Singh
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author J Chandra Singh
Venkata Rama Jayanthi
Ganesh Gopalakrishnan
author_facet J Chandra Singh
Venkata Rama Jayanthi
Ganesh Gopalakrishnan
author_sort J Chandra Singh
collection DOAJ
description Hypospadias is a highly prevalent congenital anomaly. The impact of the defect and operative interventions on sexual and reproductive function has been addressed by few publications. It is essential to know the possible outcomes of intervention for appropriate counseling, operative planning, and follow-up. English articles indexed in Pubmed dealing with the long-term sexual and reproductive outcome following hypospadias repair from 1965 to 2007 were reviewed. To our knowledge, there was no prospective trial comparing the impact of various techniques on sexual outcome. There is considerable discordance in literature regarding the effects on sexual function. A few publications report patient and partner dissatisfaction with the appearance of genitalia. Sexual dissatisfaction is often attributed to penile size. Ejaculatory disturbances range between 6 and 37% of operated individuals. There is no convincing evidence for impaired fertility. The long-term follow-up is essential to identify problems and to address them appropriately. Literature documenting the outcome of specific operative procedures and analysis based on severity of hypospadias will be informative. The long-term follow-up of the newer techniques which are more commonly used are awaited.
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spelling doaj.art-9872054dbc414271b10f6f9f80d450632022-12-21T23:30:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242008-01-0124224925210.4103/0970-1591.40623Effect of hypospadias on sexual function and reproductionJ Chandra SinghVenkata Rama JayanthiGanesh GopalakrishnanHypospadias is a highly prevalent congenital anomaly. The impact of the defect and operative interventions on sexual and reproductive function has been addressed by few publications. It is essential to know the possible outcomes of intervention for appropriate counseling, operative planning, and follow-up. English articles indexed in Pubmed dealing with the long-term sexual and reproductive outcome following hypospadias repair from 1965 to 2007 were reviewed. To our knowledge, there was no prospective trial comparing the impact of various techniques on sexual outcome. There is considerable discordance in literature regarding the effects on sexual function. A few publications report patient and partner dissatisfaction with the appearance of genitalia. Sexual dissatisfaction is often attributed to penile size. Ejaculatory disturbances range between 6 and 37% of operated individuals. There is no convincing evidence for impaired fertility. The long-term follow-up is essential to identify problems and to address them appropriately. Literature documenting the outcome of specific operative procedures and analysis based on severity of hypospadias will be informative. The long-term follow-up of the newer techniques which are more commonly used are awaited.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2008;volume=24;issue=2;spage=249;epage=252;aulast=SinghHypospadiasreproductionsexual function
spellingShingle J Chandra Singh
Venkata Rama Jayanthi
Ganesh Gopalakrishnan
Effect of hypospadias on sexual function and reproduction
Indian Journal of Urology
Hypospadias
reproduction
sexual function
title Effect of hypospadias on sexual function and reproduction
title_full Effect of hypospadias on sexual function and reproduction
title_fullStr Effect of hypospadias on sexual function and reproduction
title_full_unstemmed Effect of hypospadias on sexual function and reproduction
title_short Effect of hypospadias on sexual function and reproduction
title_sort effect of hypospadias on sexual function and reproduction
topic Hypospadias
reproduction
sexual function
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2008;volume=24;issue=2;spage=249;epage=252;aulast=Singh
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AT venkataramajayanthi effectofhypospadiasonsexualfunctionandreproduction
AT ganeshgopalakrishnan effectofhypospadiasonsexualfunctionandreproduction