Is there an ideal age for hypospadias repair

Objective: The aim of this study is to assess whether repairing hypospadias before or after 18 months affects psychological adjustment, health-related quality of life (HRQoL) and surgical outcome. Subjects/Patients 77 boys with a current age of 6 to 17 years were assigned to two groups, according to whether they had a hypospadias repair before or after the age of 18 months. The surgical outcome was assessed with the Pediatric Penile Perception Score by non involved urologists. A psychologist interviewed the patients to assess HRQoL and gender-role behavior. The child’s psychological adjustment was assessed with a questionnaire for parents. Results The surgical outcome and complication rate were not significantly different. A covariance analysis of HRQoL, gender-role behavior and psychological adjustment as a function of age at the last operation with current age as covariant was performed, but differences did not reach significance.