dc.date.accessioned | 2024-01-17T17:40:43Z | |
dc.date.available | 2024-01-17T17:40:43Z | |
dc.date.created | 2023-04-05T17:55:23Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Gulseth, Eirik Urdal, Andreas Martin Andersen, Marit Helen Falk, Ragnhild Sørum Aksnes, Gunnar Emblem, Ragnhild Wæhre, Anne . Sexual well-being and penile appearance in adolescents operated for distal hypospadias in childhood. Journal of Pediatric Urology. 2023 | |
dc.identifier.uri | http://hdl.handle.net/10852/106930 | |
dc.description.abstract | Background
The importance of patient-reported outcomes (PRO) in hypospadias is increasing. However, more knowledge is needed concerning genital self-perception on appearance and function in adolescents. The complication rates for distal hypospadias is different from that for severe hypospadias, and expected outcomes related to sexual well-being and cosmetics may also differ.
Objective
To investigate 16-year-olds’ self-reported outcomes on penile appearance, sexual well-being, and voiding function in distal hypospadias, and compare with that of healthy male adolescents and a surgeon's view.
Study design
Sixteen-year-old patients operated for distal hypospadias were included in this cross-sectional study and compared to a group of healthy adolescents. The assessment tools included the adolescents’ self-perception on genital appearance and function measured by Pediatric Penile Perception Score (PPPS) and their responses to a structured interview. We also included information on clinical data from the electronic medical records, together with a physical examination and an uroflowmetry.
Results
Seventy patients and 61 healthy adolescents participated. Patients and the comparison group reported no differences on sexual well-being. The patients were satisfied with penile appearance, however their overall PPPS was significantly lower (8.9), compared to the comparison group (9.6, p = 0.03). Thirty-nine percent of patients had complications leading to re-interventions and reported lower scores on genital self-perception on appearance and function compared to those who had not re-interventions. Voiding function was normal. The surgeon's score on appearance was comparable to the patients’ score.
Discussion
A key finding in our study is the patients’ high satisfaction on sexual well-being, which was similar to healthy adolescents. The patients were also satisfied with penile appearance but scored significantly lower than the comparison group. Surgeons and patients had comparable scores on appearance; however, they seemed to emphasize different aspects of appearance. Our results on penile appearance and sexual well-being are comparable to those of other studies on distal hypospadias. In our study, re-interventions were associated with more negative genital self-perception on appearance and function, similar to findings in other studies.
Conclusion
Our results show overall positive satisfaction on sexual well-being, voiding function and penile appearance despite less satisfaction on penile appearance when compared with the comparison group. Satisfaction was reported to be good also in patients experiencing re-interventions. | |
dc.language | EN | |
dc.publisher | Elsevier BV | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Sexual well-being and penile appearance in adolescents operated for distal hypospadias in childhood | |
dc.title.alternative | ENEngelskEnglishSexual well-being and penile appearance in adolescents operated for distal hypospadias in childhood | |
dc.type | Journal article | |
dc.creator.author | Gulseth, Eirik | |
dc.creator.author | Urdal, Andreas Martin | |
dc.creator.author | Andersen, Marit Helen | |
dc.creator.author | Falk, Ragnhild Sørum | |
dc.creator.author | Aksnes, Gunnar | |
dc.creator.author | Emblem, Ragnhild | |
dc.creator.author | Wæhre, Anne | |
cristin.unitcode | 185,53,48,10 | |
cristin.unitname | Avdeling for gastro- og barnekirurgi | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 2139583 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal of Pediatric Urology&rft.volume=&rft.spage=&rft.date=2023 | |
dc.identifier.jtitle | Journal of Pediatric Urology | |
dc.identifier.volume | 19 | |
dc.identifier.issue | 3 | |
dc.identifier.startpage | 293.e1 | |
dc.identifier.endpage | 293.e8 | |
dc.identifier.pagecount | 0 | |
dc.identifier.doi | https://doi.org/10.1016/j.jpurol.2023.03.001 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1477-5131 | |
dc.type.version | PublishedVersion | |