{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T14:02:28Z","timestamp":1779717748998,"version":"3.53.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypospadias is a well-known congenital malformation (approximately 18.6 new cases reported per 10\u2009000 male newborns); however, little is known about the long-term effects of corrective surgery on patients\u2019 sex life in adulthood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Our aim was to identify how surgical outcomes contribute to patients\u2019 and partners\u2019 satisfaction with the operated penis and to the ability to have a satisfying sex life and father children, and to better understand which aspects of corrective surgery are the most important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed the clinical data of 501 adult patients who were operated at our department (Department of Pediatric Urology, Heim P\u00e1l Children\u2019s Hospital, Budapest, Hungary) as children with hypospadias. We designed a Google Forms questionnaire containing simple questions about partnership, penile appearance and function, and patient satisfaction for them and their partners. To assess complex psychological constructs, validated questionnaires were used. We measured relationship satisfaction (the Hungarian version of the Relationship Assessment Scale), sexual distress (Short version of the Sexual Distress Scale), sexual dysfunction (Arizona Sexual Experience Scale), sexual desire (Sexual Desire Inventory), and sexual satisfaction (Global Measure of Sexual Satisfaction).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Out of the 414 patients who we could reach out to, 78 patients with mean (\u00b1SD) age of 24.38\u2009\u00b1\u20095.21\u00a0years, and 12 partners filled out the forms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patients\u2019 overall satisfaction with their penis was generally good and this was mostly related to satisfaction with its appearance (r\u2009=\u2009.60). The location of the meatus was not related to either patient satisfaction or the capacity of having a child. The straightness of the penis, the number and type of penile corrective surgeries, or age at the first operation did not affect patient satisfaction. Partners were mostly content with the corrected penis, and their satisfaction depended on a subjective liking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>We have found that it is not necessary to achieve a completely straight penis or to extend the neourethra to the tip of the glans, nor is a one-stage surgery required for patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths &amp; Limitations<\/jats:title>\n                    <jats:p>The most significant strength of our study is its comprehensive methodological design and the use of validated questionnaires to measure psychological constructs. Its biggest limitation is the low number of participating partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our data show that subjective satisfaction with penile appearance is associated with higher overall satisfaction more strongly than urinary function in young adults operated for hypospadias in their childhood and also that of their partners so these observations need to be taken into account when deciding surgical strategy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdag146","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:26:25Z","timestamp":1777638385000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-term follow-up study of patients with hypospadias focusing on their sex life"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8067-6083","authenticated-orcid":false,"given":"Dorottya","family":"Balogh","sequence":"first","affiliation":[{"name":"Surgical Medicine Division of the Doctoral College, Semmelweis University , Budapest, 1085 ,","place":["Hungary"]},{"name":"Department of Pediatric Urology, Heim P\u00e1l Children\u2019s Hospital , Budapest, 1131 ,","place":["Hungary"]},{"name":"Department of Pediatric Surgery, Gy\u0151r-Moson-Sopron County Petz Alad\u00e1r University Teaching Hospital , Gy\u0151r, 9024 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Csord\u00e1s","sequence":"additional","affiliation":[{"name":"Department of Developmental and Educational Psychology, Eszterh\u00e1zy K\u00e1roly Catholic University , Eger, 3300 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1d\u00e1m","family":"Fuk\u00e1sz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology, Heim P\u00e1l Children\u2019s Hospital , Budapest, 1131 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1lint","family":"Sulya","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology, Heim P\u00e1l Children\u2019s Hospital , Budapest, 1131 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f3zsef","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Department of Surgery, Municipal Hospital Odorheiu Secuiesc , Odorheiu Secuiesc, 535600 ,","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s P\u00e1l","family":"Kiss","sequence":"additional","affiliation":[{"name":"Department of Pediatric Urology, Heim P\u00e1l Children\u2019s Hospital , Budapest, 1131 ,","place":["Hungary"]},{"name":"Pediatric Urology Clinic, Budakeszi Health Center , Budakeszi, 2092 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"2026052509044211700_ref1","volume-title":"Presented at the EAU Annual Congress Madrid","author":"EAU Guidelines","year":"2025"},{"issue":"9","key":"2026052509044211700_ref2","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.1016\/j.jsxm.2020.04.002","article-title":"Psychosexual outcome, sexual function, and long-term satisfaction of adolescent and young adult men after childhood hypospadias repair","volume":"17","author":"Tack","year":"2020","journal-title":"J Sex Med"},{"issue":"6","key":"2026052509044211700_ref3","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1055\/s-2003-44727","article-title":"Combined use of perimeatal-based flap urethroplasty (Mathieu) with midline incision or urethral plate in hypospadias repair","volume":"13","author":"Kiss","year":"2003","journal-title":"Eur J Pediatr Surg"},{"issue":"6","key":"2026052509044211700_ref4","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1016\/j.urology.2010.10.031","article-title":"The history of hypospadias and hypospadias repairs","volume":"77","author":"Lambert","year":"2011","journal-title":"Urology"},{"issue":"8","key":"2026052509044211700_ref5","doi-asserted-by":"publisher","first-page":"162385","DOI":"10.1016\/j.jpedsurg.2025.162385","article-title":"Bulbospongiosus muscle reconstruction in proximal hypospadias: post pubertal function and patient satisfaction","volume":"60","author":"Hennayake","year":"2025","journal-title":"J Pediatr Surg"},{"issue":"12","key":"2026052509044211700_ref6","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1007\/BF01349969","article-title":"The history of hypospadias","volume":"21","author":"Smith","year":"1997","journal-title":"Pediatric Surg Int"},{"issue":"24","key":"2026052509044211700_ref7","doi-asserted-by":"publisher","first-page":"133","DOI":"10.17107\/KH.2022.24.133-137","article-title":"A hypospadiasis t\u00f6rt\u00e9nete [The history of hypospadiasis]","volume":"12","author":"Balogh","year":"2022","journal-title":"Kaleidoscope"},{"issue":"5","key":"2026052509044211700_ref8","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1093\/jpepsy\/jsm098","article-title":"Psychosocial adjustment, health-related quality of life, and psychosexual development of boys with hypospadias: a systematic review","volume":"33","author":"Sch\u00f6nbucher","year":"2008","journal-title":"J Pediatr Psychol"},{"issue":"4","key":"2026052509044211700_ref9","doi-asserted-by":"publisher","first-page":"1736","DOI":"10.1016\/j.juro.2009.03.073","article-title":"Long-term followup of hypospadias: functional and cosmetic results","volume":"182","author":"Rynja","year":"2009","journal-title":"J Urol"},{"issue":"3","key":"2026052509044211700_ref10","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/s0022-5347(17)55019-3","article-title":"Social and sexual adjustment of men operated for hypospadias during childhood: a controlled study","volume":"125","author":"Berg","year":"1981","journal-title":"J Urol"},{"issue":"5","key":"2026052509044211700_ref11","doi-asserted-by":"publisher","first-page":"1876","DOI":"10.1097\/01.ju.0000119337.19471.51","article-title":"Sexual behavior and sexual function of adults after hypospadias surgery: a comparative study","volume":"171","author":"Bubanj","year":"2004","journal-title":"J Urol"},{"issue":"5","key":"2026052509044211700_ref12","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.jpurol.2009.12.005","article-title":"Long-term outcome of severe hypospadias","volume":"6","author":"Aulagne","year":"2010","journal-title":"J Pediatr Urol"},{"issue":"4","key":"2026052509044211700_ref13","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1038\/aja.2008.60","article-title":"Long-term sexual activity status and influencing factors in men after surgery for hypospadias","volume":"11","author":"Wang","year":"2009","journal-title":"Asian J Androl"},{"issue":"6","key":"2026052509044211700_ref14","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1111\/j.1439-0272.2010.01061.x","article-title":"Psychosexual adjustment and age factors in 130 men undergone hypospadias surgery in a Chinese hospital","volume":"42","author":"Wang","year":"2010","journal-title":"Andrologia"},{"issue":"5","key":"2026052509044211700_ref15","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.1111\/j.1743-6109.2010.02120.x","article-title":"Long-term psychological and sexual outcomes of severe penile hypospadias repair","volume":"8","author":"Kiss","year":"2011","journal-title":"J Sex Med"},{"issue":"3","key":"2026052509044211700_ref16","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1097\/JU.0000000000001869","article-title":"Adolescent and young adult urogenital outcome following childhood hypospadias repair: perfection revisited","volume":"206","author":"Tack","year":"2021","journal-title":"J Urol"},{"issue":"3","key":"2026052509044211700_ref17","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1046\/j.1464-410x.1999.0830s3029.x","article-title":"Sexuality after hypospadias repair","volume":"83","author":"Bracka","year":"1999","journal-title":"BJU Int"},{"issue":"3","key":"2026052509044211700_ref18","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1016\/j.jpedsurg.2005.11.051","article-title":"Factors affecting the long-term results of hypospadias repairs","volume":"41","author":"Liu","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"8","key":"2026052509044211700_ref19","doi-asserted-by":"publisher","first-page":"17371745","DOI":"10.1111\/jsm.12942","article-title":"What is a good looking penis? How women rate the penile appearance of men with surgically corrected hypospadias","volume":"12","author":"Ruppen-Greeff","year":"2015","journal-title":"J Sex Med"},{"issue":"3","key":"2026052509044211700_ref20","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1556\/Mental.15.2014.3.6","article-title":"A Kapcsolati El\u00e9gedetts\u00e9g Sk\u00e1la magyar v\u00e1ltozat\u00e1nak (RAS-H) pszichometriai jellemz\u00f5i","volume":"15","author":"Martos","year":"2014","journal-title":"Ment\u00e1lhigi\u00e9n\u00e9 \u00e9s Pszichoszomatika"},{"issue":"3","key":"2026052509044211700_ref21","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1556\/2006.2021.00063","article-title":"International sex survey: study protocol of a large, cross-cultural collaborative study in 45 countries","volume":"10","author":"B\u0151the","year":"2021","journal-title":"J Behav Addict"},{"issue":"5","key":"2026052509044211700_ref22","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1016\/j.jpain.2017.12.264","article-title":"Daily anxiety and depressive symptoms in couples coping with vulvodynia: associations with women\u2019s pain, women\u2019s sexual function, and both partners\u2019 sexual distress","volume":"19","author":"P\u00e2quet","year":"2018","journal-title":"J Pain"},{"issue":"1","key":"2026052509044211700_ref23","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1080\/009262300278623","article-title":"The Arizona sexual experience scale (ASEX): reliability and validity","volume":"26","author":"McGahuey","year":"2000","journal-title":"J Sex Marital Ther"},{"issue":"3","key":"2026052509044211700_ref24","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1080\/00926239608414655","article-title":"The sexual desire inventory: development, factor structure, and evidence of reliability","volume":"22","author":"Spector","year":"1996","journal-title":"J Sex Marital Ther"},{"issue":"4","key":"2026052509044211700_ref25","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1111\/j.1475-6811.1995.tb00092.x","article-title":"Sexual satisfaction in long-term heterosexual relationships: the interpersonal exchange model of sexual satisfaction","volume":"2","author":"Lawrance","year":"1995","journal-title":"Pers Relat"},{"key":"2026052509044211700_ref26","volume-title":"JASP","author":"JASP Team"},{"key":"2026052509044211700_ref27","volume-title":"Psychometric Theory","author":"Nunnally","year":"1967"},{"key":"2026052509044211700_ref28","author":"Hungarian Central Statistical Office (Population Census)"},{"issue":"2","key":"2026052509044211700_ref29","doi-asserted-by":"publisher","first-page":"212","DOI":"10.17392\/1482-22","article-title":"Assessment of postoperative cosmetic outcomes of distal form hypospadias repair with the hypospadias objective scoring evaluation (HOSE)","volume":"19","author":"Jonuzi","year":"2022","journal-title":"Med Glas (Zenica)"},{"issue":"3","key":"2026052509044211700_ref30","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1046\/j.1464-410x.2001.02280.x","article-title":"HOSE: an objective scoring system for evaluating the results of hypospadias surgery","volume":"88","author":"Holland","year":"2001","journal-title":"BJU Int"},{"issue":"2 Pt 2","key":"2026052509044211700_ref31","first-page":"833","article-title":"Analysis of meatal location in 500 men: wide variation questions need for meatal advancement in all pediatric anterior hypospadias cases","volume":"154","author":"Fichtner","year":"1995","journal-title":"J Urol"},{"issue":"1","key":"2026052509044211700_ref32","doi-asserted-by":"publisher","first-page":"32","DOI":"10.3390\/healthcare8010032","article-title":"Psychosexual functioning outcome testing after hypospadias repair","volume":"8","author":"Majstorovic","year":"2020","journal-title":"Healthcare"},{"issue":"5","key":"2026052509044211700_ref33","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1016\/j.jpurol.2011.02.008","article-title":"Functional, cosmetic and psychosexual results in adult men who underwent hypospadias correction in childhood","volume":"7","author":"Rynja","year":"2011","journal-title":"J Pediatr Urol"},{"key":"2026052509044211700_ref34","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/j.urology.2025.05.015","article-title":"Adult sexual function following hypospadias repair in childhood: a systematic review and meta-analysis of long-term patient outcomes","volume":"204","author":"Effendi","year":"2025","journal-title":"Urology"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/23\/6\/qdag146\/68381561\/qdag146.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/23\/6\/qdag146\/68381561\/qdag146.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T13:04:48Z","timestamp":1779714288000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/doi\/10.1093\/jsxmed\/qdag146\/8692696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,11]]},"references-count":34,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,11]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdag146","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,11]]},"article-number":"qdag146"}}