{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:51:40Z","timestamp":1787827900269,"version":"build-2784847793"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T00:00:00Z","timestamp":1482105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["AN No 2011\u20103742"],"award-info":[{"award-number":["AN No 2011\u20103742"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004348","name":"Stockholms L\u00e4ns Landsting","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004348","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The aim of this study was to investigate sexual function and fertility in adult men born with hypospadias. Patients born with hypospadias, age\u2010matched controls, and a group of circumcised men completed a questionnaire constructed to reflect their psychosexual situation and fertility. Core gender identity, sexual orientation, and gender role behavior was also assessed. 167 patients [63% distal, 24% mid shaft and 13% proximal, mean age 34 (19\u201354) years], 169 controls from the general population [mean age 33 (19\u201348) years] and 47 controls circumcised because of phimosis (mean age 26 [19\u201344]) participated and completed the questionnaire. There were no differences in having a partner, reported fertility, age at sexarche (mean age 17.8), number of sex partners or sexual interest between the patients and controls. More patients than controls reported anejaculation. Reported glanular sensitivity was lower in hypospadias patients and circumcised controls compared with non\u2010circumcised controls. The odds of being satisfied with their sexual life increased with a higher penile perception score in patients (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.54, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01). There was no association with penile length. Sexual orientation, core gender identity and gender role behavior were sex\u2010typical in both patients and controls. Patients with proximal hypospadias had a lower reported fertility, experienced anejaculation more often, and were less satisfied with their sexual life. Men born with hypospadias have a good long\u2010term outcome concerning sexual function and fertility. Men born with proximal hypospadias have a more impaired outcome concerning both sexual function and fertility. As satisfaction with genital appearance is important for sexual life satisfaction, clinical, and psychological follow\u2010up into adulthood is especially important in boys born with proximal hypospadias.<\/jats:p>","DOI":"10.1111\/andr.12309","type":"journal-article","created":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T23:12:52Z","timestamp":1482189172000},"page":"286-293","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Sexuality and fertility in men with hypospadias; improved outcome"],"prefix":"10.1111","volume":"5","author":[{"given":"L.","family":"\u00d6rtqvist","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health and Center for Molecular Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Unit of Pediatric Surgery Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Fossum","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health and Center for Molecular Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Unit of Pediatric Surgery Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Andersson","sequence":"additional","affiliation":[{"name":"Sahlgrenska Academy Women's and Children's Health Gothenburg Sweden"},{"name":"Department of Pediatric Surgery Queen Silvia's Children's Hospital Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Nordenstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health and Center for Molecular Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Department of Pediatric Endocrinology Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Fris\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden"},{"name":"Child and Adolescent Psychiatry Research Center Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Holmdahl","sequence":"additional","affiliation":[{"name":"Sahlgrenska Academy Women's and Children's Health Gothenburg Sweden"},{"name":"Department of Pediatric Surgery Queen Silvia's Children's Hospital Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Nordenskj\u00f6ld","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health and Center for Molecular Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Unit of Pediatric Surgery Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000020107"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2605.2009.00957.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb06995.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)55019-3"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb06996.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.12.080"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.0830s3029.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11761.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000119337.19471.51"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.03.019"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022492106974"},{"key":"e_1_2_8_13_1","unstructured":"IBM Corp. 2013 IBM Corp. 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