title: [Psychosexual and psychosocial development of patients with hypospadias].
abstract: Recently results were published concerning the long-term effects of surgical correction of hypospadias on psychosexual and psychosocial development and on genital perception. Hypospadias patients (9-38 years) were compared with age-matched males operated for inguinal hernia. A semi-structured interview and standardised psychological questionnaires were used. Hypospadias patients did not show a disturbed psychosexual adjustment, but they reported significantly more inhibitions with seeking sexual contacts as a result of embarrassment about their penile appearance. Also, hypospadias patients were significantly less satisfied with their penile appearance, mostly because of the circumcised appearance and a smaller length. No differences were found between psychosocial functioning of hypospadias patients and the control males. Following the investigations 8% of the patients were reoperated because of a poor functional or cosmetic operative result. It is recommended that all hypospadias patients be seen at least once during adolescence as a standard therapeutic procedure, to give optimal care to the small group of patients with psychosexual or psychosocial problems.
authors.affiliation: Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinder- en Jeugdpsychiatrie.
authors.forename: M A
authors.initials: MA
authors.lastname: Mureau
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D002648:Child; D002657:Child Development; D015331:Cohort Studies; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D007021:Hypospadias / Q000523:psychology* / Q000601:surgery; D008297:Male; D011606:Psychosexual Development; D012725:Sexual Behavior
vernacular_title: De psychoseksuele en psychosociale ontwikkeling van patiënten met hypospadie.