Should Surgery for Hypospadias Be Performed Before An Age of Consent?

@article{Carmack2016ShouldSF,
  title={Should Surgery for Hypospadias Be Performed Before An Age of Consent?},
  author={Adrienne J. K. Carmack and Lauren Notini and Brian D. Earp},
  journal={The Journal of Sex Research},
  year={2016},
  volume={53},
  pages={1047 - 1058}
}
Hypospadias is a relatively common genital condition in which the urethral opening forms on the underside of the penis, as opposed to at the tip of the glans. Patients with hypospadias are typically referred for surgery during infancy or early childhood. Recent evidence, however, indicates that many individuals with hypospadias do not experience the functional or psychosocial difficulties commonly attributed to the condition, and that surgical intervention for hypospadias carries substantial… 

Hypospadias, all there is to know

TLDR
Although long-term overall outcome concerning cosmetic appearance and sexual function is fairly good, after correction, men may more often be inhibited in seeking sexual contact, and lower urinary tract symptoms occur twice as often in patients undergoing hypospadias repair and can still occur many years after the initial repair.

Hypospadias, all there is to know

TLDR
Although long-term overall outcome concerning cosmetic appearance and sexual function is fairly good, after correction, men may more often be inhibited in seeking sexual contact, and lower urinary tract symptoms occur twice as often in patients undergoing hypospadias repair and can still occur many years after the initial repair.

Hypospadias surgery - long-term outcome focusing on adolescence

TLDR
Urinary, psychosocial and psychosexual outcome in adolescence is good for patients with distal and proximal hypospadias, but the latter may require a considerable amount of reoperations to achieve this.

Long-term Complications of Hypospadias Repair

TLDR
A review article explores the wide array of potential long-term complications of post-hypospadias repair complications and discusses their presentation, risk factors, diagnosis, and available options for surgical management.

Age of the mother as a risk factor and timing of hypospadias repair according to severity.

TLDR
Increased maternal age is associated with the most severe forms of hypospadias, and there is room for improvement for the timing of hyPOSpadias repair according to severity.

Update on the surgical approach for reconstruction of the male genitalia.

TLDR
The authors present the current status of reconstruction of the male genitalia in this setting and address the following topics: surgical input in the evaluation of the newborn with an undervirilized external genitalia, including gender assignment considerations.

Hypospadias and the Performative, Psychological and Perfect Penis

TLDR
This chapter examines historical and contemporary reasoning by British medical professionals for cosmetic surgical interventions on boys’ penises, and explores the different ideas of what a penis “means” and is considered to be for, in medical accounts of hypospadias.

Adolescent and Young Adult Urogenital Outcome following Childhood Hypospadias Repair: Perfection Revisited.

TLDR
Adopting a restrictive attitude towards aesthetic refinement unless on the patient's own request, could improve urinary outcomes and the latter also with impaired sexual function.

References

SHOWING 1-10 OF 76 REFERENCES

Anterior hypospadias. Is repair necessary with urination in a sitting or squatting position?

TLDR
The results of anterior hypospadias repair compare favourably with those of other centers and an informed consent is warranted by making the patients and their parents aware of the non-association of sexual and reproductive disorders with these anomalies.

Primary and reoperative hypospadias repair in adults--are results different than in children?

Hypospadias

TLDR
This article reviews hypospadia in general with its development and clinical presentation as well as historical and current concepts in hypospadiologie on the basis of available literature, but it is also based on its own clinical experience in the repair of this malformation.

Treatment of adults with complications from previous hypospadias surgery.

Assessment of Outcome in Hypospadias Surgery – A Review

TLDR
Current strategies of outcome assessment in urogenital reconstructive surgery are reviewed, hoping that in the future, an accurate estimation of the long-term consequences of being born with hypospadias will be given.

Long-term outcome of different types of 1-stage hypospadias repair.

TLDR
The results clearly showed that additional complications can present after long-term followup after hypospadias repair, and the results seem to depend on the severity of the abnormality, reflected in the complication distribution rather than operative technique.

Hypospadias repair in adults: adventures and misadventures.

TLDR
The results of hypospadias repair in adulthood differ from the results of similar procedures in childhood in terms of wound healing, infection, complication rates and overall success.

Erectile function in men with failed hypospadias repair.

...