PMID- 25816396 OWN - NLM STAT- MEDLINE DCOM- 20170403 LR - 20170403 IS - 0394-6320 (Print) IS - 0394-6320 (Linking) VI - 28 IP - 3 DP - 2015 Sep TI - Penile length is a very important factor for cosmesis, function and psychosexual development in patients affected by hypospadias: Results from a long-term longitudinal cohort study. PG - 421-5 LID - 10.1177/0394632015576857 [doi] AB - Few studies of long-term outcome of hypospadias treatment in terms of voiding, surgical complications, sexual functioning, intimate relationships and cosmetic results have been investigated and contrasting results have been obtained so far. The aim of our study is to investigate the long-term outcome of urinary and sexual function, cosmesis and the quality of intimate relationships in a series of hypospadias. In this study, 42 patients who underwent surgery for hypospadias were prospectively followed for 15 years. Medical records provided the hypospadias data, the number of reconstructive operations and the reconstruction technique that was used. Patients underwent physical examination, including penile length measurement and completed International Prostatic Symptoms Score (I-PSS), International Index Of Erectile Function (IIEF 15) and the Penile Perception Score questionnaire (PPPS). Twenty patients agreed to participate in the study. At the enrolment, the median value of HOSE was 13, as regards PPPS, 18/20 (90%) were satisfied, while in 1998 only 80% were satisfied. No significant statistical difference has been reported from the results obtained at enrolment and those obtained at follow-up, in terms of PPPS (P = 0.81), IPSS and IIEF-15. Penile length was 6.5 cm flaccid and 10.5 cm stretched. Our data show how cosmesis, function and psychosexual development for these patients are highly connected to surgical outcome, which is understood to be a decrease in penile size. CI - (c) The Author(s) 2015. FAU - Ciancio, Francesco AU - Ciancio F AD - Department of Plastic and Reconstructive Surgery, University of Bari, Foggia, Italy francescociancio01@gmail.com. FAU - Lo Russo, G AU - Lo Russo G AD - Department of Plastic and Reconstructive Surgery, CTO-AOUC, University of Florence, Florence, Italy. FAU - Innocenti, A AU - Innocenti A AD - Department of Plastic and Reconstructive Surgery, CTO-AOUC, University of Florence, Florence, Italy. FAU - Portincasa, A AU - Portincasa A AD - Department of Plastic and Reconstructive Surgery, University of Foggia, Foggia, Italy. FAU - Parisi, D AU - Parisi D AD - Department of Plastic and Reconstructive Surgery, University of Foggia, Foggia, Italy. FAU - Mondaini, N AU - Mondaini N AD - Department of Urology, Santa Maria Annunziata Hospital, University of Florence, Florence, Italy. LA - eng PT - Letter DEP - 20150326 PL - England TA - Int J Immunopathol Pharmacol JT - International journal of immunopathology and pharmacology JID - 8911335 RN - 0 (Cosmetics) SB - IM MH - Adolescent MH - Cosmetics MH - Follow-Up Studies MH - Humans MH - Hypospadias/*physiopathology/*psychology MH - Longitudinal Studies MH - Male MH - Patient Satisfaction MH - Penis/*anatomy & histology MH - Perception MH - Personal Satisfaction MH - Prospective Studies MH - Psychosexual Development/*physiology MH - Sexual Behavior/psychology MH - Surveys and Questionnaires OTO - NOTNLM OT - HOSE OT - IIEF-15 OT - IPSS OT - PPPS OT - hypospadias OT - penile size OT - psychosexual development EDAT- 2015/03/31 06:00 MHDA- 2017/04/04 06:00 CRDT- 2015/03/28 06:00 PHST- 2014/04/01 00:00 [received] PHST- 2015/02/17 00:00 [accepted] PHST- 2015/03/28 06:00 [entrez] PHST- 2015/03/31 06:00 [pubmed] PHST- 2017/04/04 06:00 [medline] AID - 0394632015576857 [pii] AID - 10.1177/0394632015576857 [doi] PST - ppublish SO - Int J Immunopathol Pharmacol. 2015 Sep;28(3):421-5. doi: 10.1177/0394632015576857. Epub 2015 Mar 26.