Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes

<h3>Objective</h3><p dir="ltr">To synthesize and quantitatively analyze available evidence regarding sexual function in adults who underwent hypospadias repair during childhood. </p><h3>Methods</h3><p dir="ltr">A systematic review and met...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Rudini Effendi (22503071) (author)
مؤلفون آخرون: Gerhard Reinaldi Situmorang (22503074) (author), Irfan Wahyudi (21212535) (author), Arry Rodjani (22503077) (author), Putu Angga Risky Raharja (10757540) (author), Tariq O. Abbas (11247771) (author)
منشور في: 2025
الموضوعات:
الوسوم: إضافة وسم
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author Rudini Effendi (22503071)
author2 Gerhard Reinaldi Situmorang (22503074)
Irfan Wahyudi (21212535)
Arry Rodjani (22503077)
Putu Angga Risky Raharja (10757540)
Tariq O. Abbas (11247771)
author2_role author
author
author
author
author
author_facet Rudini Effendi (22503071)
Gerhard Reinaldi Situmorang (22503074)
Irfan Wahyudi (21212535)
Arry Rodjani (22503077)
Putu Angga Risky Raharja (10757540)
Tariq O. Abbas (11247771)
author_role author
dc.creator.none.fl_str_mv Rudini Effendi (22503071)
Gerhard Reinaldi Situmorang (22503074)
Irfan Wahyudi (21212535)
Arry Rodjani (22503077)
Putu Angga Risky Raharja (10757540)
Tariq O. Abbas (11247771)
dc.date.none.fl_str_mv 2025-10-16T09:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.urology.2025.05.015
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Adult_Sexual_Function_Following_Hypospadias_Repair_in_Childhood_A_Systematic_Review_and_Meta-Analysis_of_Long-Term_Patient_Outcomes/30455210
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Paediatrics
Reproductive medicine
Hypospadias repair
Sexual function
Pediatric urology
Systematic review
Sexual health
dc.title.none.fl_str_mv Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objective</h3><p dir="ltr">To synthesize and quantitatively analyze available evidence regarding sexual function in adults who underwent hypospadias repair during childhood. </p><h3>Methods</h3><p dir="ltr">A systematic review and meta-analysis were conducted based on PRISMA guidelines to assess long-term outcomes of hypospadias repair on adult sexual function. Studies were evaluated for methodological quality, surgical techniques, patient demographics, and primary outcomes related to erectile function, sexual satisfaction, and psychosexual health. Meta-analytic methods were employed to calculate pooled incidences and heterogeneity of key outcomes. </p><h3>Results</h3><p dir="ltr">Thirteen studies were included in the review, with pooled analyses revealing an overall incidence of erectile dysfunction at 12% (95% CI: 7%-19%) and sexual dissatisfaction at 16% (95% CI: 12%-22%). Most studies demonstrated favorable outcomes in erectile function and sexual satisfaction, although variability in outcomes was noted across subgroups. Meta-analysis highlighted significant heterogeneity due to differences in surgical techniques, patient populations, and follow-up durations. </p><h3>Conclusion</h3><p dir="ltr">Hypospadias repair during childhood generally leads to positive long-term sexual function outcomes. However, approximately 12%-16% of individuals may experience persistent challenges. Standardization of outcome measures and long-term follow-up studies are essential to refine surgical approaches and improve patient care.</p><h2>Other Information</h2><p dir="ltr">Published in: Urology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.urology.2025.05.015" target="_blank">https://dx.doi.org/10.1016/j.urology.2025.05.015</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1016/j.urology.2025.05.015
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/30455210
publishDate 2025
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spelling Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient OutcomesRudini Effendi (22503071)Gerhard Reinaldi Situmorang (22503074)Irfan Wahyudi (21212535)Arry Rodjani (22503077)Putu Angga Risky Raharja (10757540)Tariq O. Abbas (11247771)Biomedical and clinical sciencesPaediatricsReproductive medicineHypospadias repairSexual functionPediatric urologySystematic reviewSexual health<h3>Objective</h3><p dir="ltr">To synthesize and quantitatively analyze available evidence regarding sexual function in adults who underwent hypospadias repair during childhood. </p><h3>Methods</h3><p dir="ltr">A systematic review and meta-analysis were conducted based on PRISMA guidelines to assess long-term outcomes of hypospadias repair on adult sexual function. Studies were evaluated for methodological quality, surgical techniques, patient demographics, and primary outcomes related to erectile function, sexual satisfaction, and psychosexual health. Meta-analytic methods were employed to calculate pooled incidences and heterogeneity of key outcomes. </p><h3>Results</h3><p dir="ltr">Thirteen studies were included in the review, with pooled analyses revealing an overall incidence of erectile dysfunction at 12% (95% CI: 7%-19%) and sexual dissatisfaction at 16% (95% CI: 12%-22%). Most studies demonstrated favorable outcomes in erectile function and sexual satisfaction, although variability in outcomes was noted across subgroups. Meta-analysis highlighted significant heterogeneity due to differences in surgical techniques, patient populations, and follow-up durations. </p><h3>Conclusion</h3><p dir="ltr">Hypospadias repair during childhood generally leads to positive long-term sexual function outcomes. However, approximately 12%-16% of individuals may experience persistent challenges. Standardization of outcome measures and long-term follow-up studies are essential to refine surgical approaches and improve patient care.</p><h2>Other Information</h2><p dir="ltr">Published in: Urology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.urology.2025.05.015" target="_blank">https://dx.doi.org/10.1016/j.urology.2025.05.015</a></p>2025-10-16T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.urology.2025.05.015https://figshare.com/articles/journal_contribution/Adult_Sexual_Function_Following_Hypospadias_Repair_in_Childhood_A_Systematic_Review_and_Meta-Analysis_of_Long-Term_Patient_Outcomes/30455210CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/304552102025-10-16T09:00:00Z
spellingShingle Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
Rudini Effendi (22503071)
Biomedical and clinical sciences
Paediatrics
Reproductive medicine
Hypospadias repair
Sexual function
Pediatric urology
Systematic review
Sexual health
status_str publishedVersion
title Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
title_full Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
title_fullStr Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
title_full_unstemmed Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
title_short Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
title_sort Adult Sexual Function Following Hypospadias Repair in Childhood: A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes
topic Biomedical and clinical sciences
Paediatrics
Reproductive medicine
Hypospadias repair
Sexual function
Pediatric urology
Systematic review
Sexual health