Results showed that women considered the position and shape
of the meatus as the least important penile aspect. Furthermore, results showed
that HASRGs with distal hypospadias were perceived to be as normal-looking as
circumcised genitals, whereas genitals with more proximal hypospadias were
perceived as significantly less normal. However, the difference need not be
considered clinically relevant, as the effect size was small. Observer-related
predictors of a more positive perception of HASRGs were higher age, higher
sexual interest, and perceiving the general cosmetic penile appearance as more
important and penile length as less important.
Overall, women were found to consider the “position and
shape of the meatus” as the least important penile aspect. These findings may
stimulate reflections regarding the relevance of surgical correction of the
meatus in minor forms of hypospadias. In addition, this study indicates that
women perceived genitals of men with distal operated hypospadias (which
represents the majority of hypospadias) to be as normal as nonaffected,
circumcised genitals
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