Just over one third of the men reported spraying or abnormal angulation of the urinary stream, the investigators note, but only 3 patients reported that they preferentially sit to void.
All but 2 of 43 men who had attempted fertility were successful, the researchers say, and the 2 known to be infertile had significantly reduced concentrations of sperm in ejaculated semen.
Fifty-three of the men had been sexually active without difficulty, 2 had not yet had a sexual partner, and 1 reported intermittent problems with failure to ejaculate but nevertheless had fathered children.
"I was somewhat surprised that hypospadias seems to be a non-issue for so many adults," Dodds said. "One of our patients stated that he had had many sexual partners before a nurse he was dating informed him that he was 'built different' than most men. He said they laughed about it and that it was not a concern to either."
However, "I intuitively believe that all boys with marked hypospadias and curvature will be disadvantaged by their birth anomaly and should be considered for surgery," Dodds added.
SOURCE: Urology April 2008.
