OBJECTIVE: To obtain the long-term follow-up information on @entity1 born with severe @entity28030 associated with @entity4998 who underwent a staged surgical correction of their @entity2650 and were raised as males. @entity1 AND METHODS: The study comprised @entity1 who had undergone a surgical correction of @entity2650 before 1978 and were traced successfully. Postal questionnaires which were completed and returned by 19 @entity1 and 28 general practitioners (GPs) were evaluated; in addition, nine cases were clinically reviewed. RESULTS: Of the 19 @entity1 who completed and returned the questionnaire, four were married or living with a partner and 12 had had intercourse, with debut at a median age of 17 years. Satisfactory erection and orgasm were reported by 15 @entity1 but only seven had satisfactory ejaculation. Nine @entity1 had continued difficulties with micturition and urological function. Four @entity1 considered that their psychological well-being and quality of life had been markedly impaired by their condition and two other @entity1 had evidence of mild @entity308 . Nine @entity1 did not complete the questionnaires but allowed their GPs to provide information about them; only one was reported to have marked @entity73 and @entity73 . Two of the @entity1 who did not participate in the study are known to have significant @entity146 problems. CONCLUSIONS: @entity5 repair in @entity1 with severe @entity28030 is associated with continued difficulty with both ejaculation and micturition, but is not usually associated with major @entity146 . The findings indicate the importance of follow-up in adolescence and adult life with adequate counselling when necessary.

Severe @entity2650 with XXXX : adult outcome after @entity5 repair.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'PATIENTS', 'men'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity4998 :: ('MESH:D012734', 'Disease') :: ['genital ambiguity'] @entity2650 :: ('MESH:D007021', 'Disease') :: ['hypospadias'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric', 'psychiatric or psychological disturbance'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Staged hypospadias'] @entity73 :: ('MESH:D003072', 'Disease') :: ['psychological impairment', 'impaired general health'] @entity28030 :: ('MESH:C535830', 'Disease') :: ['perineoscrotal hypospadias']
@entity4998 :: (MESH:D012734,Disease) :: ['genital ambiguity']
