1522 PEDIATRIC HYPOSPADIAS REPAIR USING THE MEATAL MOBILIZATION TECHNIQUE (MEMO) HAS NO INFLUENCE ON SEXUAL HEALTH IN ADULTHOOD
2012-04-01

You have accessJournal of UrologyPediatrics: Congenital Anomalies - Lower Urinary Tract & Genitalia I1 Apr 20121522 PEDIATRIC HYPOSPADIAS REPAIR USING THE MEATAL MOBILIZATION TECHNIQUE (MEMO) HAS NO INFLUENCE ON SEXUAL HEALTH IN ADULTHOOD Joerg Seibold, Stefan Aufderklamm, Saladin Alloussi, Tilman Todenhöfer, Georgios Gakis, Arnulf Stenzl, and Christian Schwentner Joerg SeiboldJoerg Seibold Tuebingen, Germany More articles by this author , Stefan AufderklammStefan Aufderklamm Tuebingen, Germany More articles by this author , Saladin AlloussiSaladin Alloussi Tuebingen, Germany More articles by this author , Tilman TodenhöferTilman Todenhöfer Tuebingen, Germany More articles by this author , Georgios GakisGeorgios Gakis Tuebingen, Germany More articles by this author , Arnulf StenzlArnulf Stenzl Tuebingen, Germany More articles by this author , and Christian SchwentnerChristian Schwentner Tuebingen, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1290AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is little evidence available regarding adult sexual function after pediatric hypospadias surgery. Herein, we compare the clinical outcome in adulthood after distal hypospadias repair in childhood using the Meatal mobilization (MEMO) technique with an age matched group of young men with regard to sexual function, clinical appearance and quality of life (HrQoL). METHODS Group A: 25 patients out of 286 who had distal hypospadias repair using the meatal mobilization (MEMO) technique in childhood having reached adulthood (mean age 22.6 years) could be identified. Group B: 22 male age-matched volunteers (mean age 24.8 years) without any history of prior genital surgery. Both groups were investigated using validated sexual behaviour (IEEF) and quality of life (HrQoL) questionnaires. Group A had an additional clinical assessment including uroflow, residual urine measurement and HOSE-score. Both groups were statistically compared regarding the aforementioned parameters. RESULTS Group A: All patients could be followed. During long-term follow-up there were no additional urethral fistulae or cases of stenosis. All had negative urine culture, no residual urine after micturition. All voided in a bell-shaped uroflow-curve. HOSE questionnaires showed 14 – 16 points in all patients (maximum16 points). All reported straight erections (median IIEF 28) and normal sexual behaviour as well as high HrQoL. Goup B: all young men in this control group showed normal sexual behaviour (median IIEF 29) and HrQoL-values. No statistical difference (p>0.05) was seen in comparison of both groups with respect to sexual function and HrQoL. CONCLUSIONS A comparison of age-matched young men to a group of patients who had distal hypospadias repair in childhood and reached adulthood could be performed. No statistical difference was found regarding HrQoL and sexual behaviour. Distal hypospadias repair using the MEMO-technique has no impact on sexual function in adulthood. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e616 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joerg Seibold Tuebingen, Germany More articles by this author Stefan Aufderklamm Tuebingen, Germany More articles by this author Saladin Alloussi Tuebingen, Germany More articles by this author Tilman Todenhöfer Tuebingen, Germany More articles by this author Georgios Gakis Tuebingen, Germany More articles by this author Arnulf Stenzl Tuebingen, Germany More articles by this author Christian Schwentner Tuebingen, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...