[The Psychosocial/-sexual Development of Boys with Hypospadias]

Overview

Journal Urologe A

Specialty Urology

Date 2007 Dec 12

PMID 18071773

Authors

V Schonbucher

M A Landolt

R Gobet

D M Weber

Affiliations

Soon will be listed here.

Abstract

Boys with hypospadias can suffer from specific psychological stress as a result of genital surgery and a cosmetically and/or functionally impaired penis. During recent decades intensive efforts have been made to improve the surgical techniques; yet the psychosocial and psychosexual development of children and adolescents after hypospadias surgery has only rarely been investigated. While the results of the few studies are altogether very contradictory, they also indicate that hypospadias patients suffer from specific problems like a negative perception of genital appearance. Therefore, they should be offered long-term follow-ups and psychosocial support until they reach young adulthood. For future research, it is necessary to systematically investigate the boys' quality of life and development in methodologically sound studies.

References

Berg R, Berg G, Svensson J . Penile malformation and mental health. A controlled psychiatric study of men operated for hypospadias in childhood. Acta Psychiatr Scand. 1982; 66(5):398-416. DOI: 10.1111/j.1600-0447.1982.tb06721.x. View

Sandberg D, Meyer-Bahlburg H, Aranoff G, Sconzo J, Hensle T . Boys with hypospadias: a survey of behavioral difficulties. J Pediatr Psychol. 1989; 14(4):491-514. DOI: 10.1093/jpepsy/14.4.491. View

Manzoni G, Bracka A, Palminteri E, Marrocco G . Hypospadias surgery: when, what and by whom?. BJU Int. 2004; 94(8):1188-95. DOI: 10.1046/j.1464-410x.2004.05128.x. View

Mureau M, Slijper F, Slob A, Verhulst F, Nijman R . Satisfaction with penile appearance after hypospadias surgery: the patient and surgeon view. J Urol. 1996; 155(2):703-6. View

Sandberg D, Meyer-Bahlburg H, Yager T, Hensle T, Levitt S, Kogan S . Gender development in boys born with hypospadias. Psychoneuroendocrinology. 1995; 20(7):693-709. DOI: 10.1016/0306-4530(95)00025-9. View

Berg R, Berg G, Edman G, Svensson J, Astrom G . Androgens and personality in normal men and men operated for hypospadias in childhood. Acta Psychiatr Scand. 1983; 68(3):167-77. DOI: 10.1111/j.1600-0447.1983.tb06996.x. View

Blotcky M, Grossman I . Psychological implications of childhood genitourinary surgery. An empirical study. J Am Acad Child Psychiatry. 1978; 17(3):488-97. DOI: 10.1016/s0002-7138(09)62303-7. View

Eray N, Dogangun B, Kayaalp L, Emir H, Soylet Y, Danismend N . Emotional effects of hypospadias surgery on Turkish boys. J Pediatr Urol. 2008; 1(2):75-80. DOI: 10.1016/j.jpurol.2004.12.003. View

Sandberg D, Meyer-Bahlburg H, Hensle T, Levitt S, Kogan S, Reda E . Psychosocial adaptation of middle childhood boys with hypospadias after genital surgery. J Pediatr Psychol. 2001; 26(8):465-75. DOI: 10.1093/jpepsy/26.8.465. View

10.

Berg R, Svensson J, Astrom G . Social and sexual adjustment of men operated for hypospadias during childhood: a controlled study. J Urol. 1981; 125(3):313-7. DOI: 10.1016/s0022-5347(17)55019-3. View

11.

Mureau M, Slijper F, Nijman R, van der Meulen J, Verhulst F, Slob A . Psychosexual adjustment of children and adolescents after different types of hypospadias surgery: a norm-related study. J Urol. 1995; 154(5):1902-7. View

12.

FARKAS L, HYNIE J . Aftereffects of hypospadias repair in childhood. Postgrad Med. 1970; 47(4):103-5. DOI: 10.1080/00325481.1970.11697441. View

13.

. Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. American Academy of Pediatrics. Pediatrics. 1996; 97(4):590-4. View

14.

Mondaini N, Ponchietti R, Bonafe M, Biscioni S, DI Loro F, Agostini P . Hypospadias: incidence and effects on psychosexual development as evaluated with the Minnesota Multiphasic Personality Inventory test in a sample of 11,649 young Italian men. Urol Int. 2002; 68(2):81-5. DOI: 10.1159/000048423. View

15.

Purschke C, Standke M . [Psychological characteristics of boys with hypospadias]. Padiatr Grenzgeb. 1993; 31(3):175-85. View

16.

Mureau M, Slijper F, Slob A, Verhulst F . Psychosocial functioning of children, adolescents, and adults following hypospadias surgery: a comparative study. J Pediatr Psychol. 1997; 22(3):371-87. DOI: 10.1093/jpepsy/22.3.371. View