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[尿道下裂男孩的心理社会/性发育]

[The psychosocial/-sexual development of boys with hypospadias].

作者信息

Schönbucher V, Landolt M A, Gobet R, Weber D M

机构信息

Urologische Abteilung, Universitäts-Kinderspital Zürich, Steinwiesstrasse 75, Zürich, Switzerland.

出版信息

Urologe A. 2007 Dec;46(12):1676-81. doi: 10.1007/s00120-007-1306-9.

DOI:10.1007/s00120-007-1306-9
PMID:18071773
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.

摘要

患有尿道下裂的男孩可能会因生殖器手术以及阴茎在外观和/或功能上的受损而遭受特定的心理压力。在最近几十年里,人们为改进手术技术付出了巨大努力;然而,尿道下裂手术后儿童和青少年的心理社会和性心理发展却很少得到研究。虽然少数研究的结果完全相互矛盾,但这些结果也表明,尿道下裂患者存在一些特定问题,比如对生殖器外观的负面认知。因此,应该为他们提供长期随访和心理社会支持,直到他们成年。对于未来的研究,有必要在方法合理的研究中系统地调查男孩的生活质量和发展情况。

相似文献

1
[The psychosocial/-sexual development of boys with hypospadias].[尿道下裂男孩的心理社会/性发育]
Urologe A. 2007 Dec;46(12):1676-81. doi: 10.1007/s00120-007-1306-9.
2
Psychosocial adjustment, health-related quality of life, and psychosexual development of boys with hypospadias: a systematic review.
J Pediatr Psychol. 2008 Jun;33(5):520-35. doi: 10.1093/jpepsy/jsm098. Epub 2007 Dec 3.
3
[Psychosexual and psychosocial development of patients with hypospadias].[尿道下裂患者的性心理和社会心理发展]
Ned Tijdschr Geneeskd. 1997 Jan 25;141(4):188-91.
4
Body image and sexuality in adolescents after hypospadias surgery.青少年尿道下裂手术后的体像和性问题。
J Pediatr Urol. 2010 Feb;6(1):54-9. doi: 10.1016/j.jpurol.2009.04.009. Epub 2009 May 27.
5
Psychosexual development of children and adolescents with hypospadias.尿道下裂患儿及青少年的性心理发育
J Sex Med. 2008 Jun;5(6):1365-73. doi: 10.1111/j.1743-6109.2007.00742.x. Epub 2008 Jan 11.
6
Psychosocial adaptation of middle childhood boys with hypospadias after genital surgery.
J Pediatr Psychol. 2001 Dec;26(8):465-75. doi: 10.1093/jpepsy/26.8.465.
7
The SIGHT questionnaire: A novel assessment tool for Satisfaction In Genital Hypospadias Treatment.SIGHT问卷:一种用于评估阴茎下弯治疗满意度的新型评估工具。
J Pediatr Urol. 2017 Feb;13(1):33.e1-33.e8. doi: 10.1016/j.jpurol.2016.10.011. Epub 2016 Nov 15.
8
Psychosocial functioning of children, adolescents, and adults following hypospadias surgery: a comparative study.尿道下裂修复术后儿童、青少年及成人的心理社会功能:一项比较研究。
J Pediatr Psychol. 1997 Jun;22(3):371-87. doi: 10.1093/jpepsy/22.3.371.
9
Early hypospadias surgery may lead to a better long-term psychosexual outcome.早期尿道下裂手术可能会带来更好的长期心理性结果。
J Urol. 2009 Oct;182(4 Suppl):1744-9. doi: 10.1016/j.juro.2009.02.089. Epub 2009 Aug 18.
10
Health-related quality of life and psychological adjustment of children and adolescents with hypospadias.尿道下裂患儿及青少年的健康相关生活质量和心理调适
J Pediatr. 2008 Jun;152(6):865-72. doi: 10.1016/j.jpeds.2007.11.036. Epub 2008 Jan 30.

本文引用的文献

1
Emotional effects of hypospadias surgery on Turkish boys.尿道下裂手术对土耳其男孩的情感影响。
J Pediatr Urol. 2005 Apr;1(2):75-80. doi: 10.1016/j.jpurol.2004.12.003.
2
Hypospadias surgery: when, what and by whom?尿道下裂手术:何时进行、做什么以及由谁来做?
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3
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.尿道下裂:在11649名意大利年轻男性样本中,通过明尼苏达多相人格调查表测试评估其发病率及对性心理发育的影响。
Urol Int. 2002;68(2):81-5. doi: 10.1159/000048423.
4
Psychosocial adaptation of middle childhood boys with hypospadias after genital surgery.
J Pediatr Psychol. 2001 Dec;26(8):465-75. doi: 10.1093/jpepsy/26.8.465.
5
Psychosocial functioning of children, adolescents, and adults following hypospadias surgery: a comparative study.尿道下裂修复术后儿童、青少年及成人的心理社会功能:一项比较研究。
J Pediatr Psychol. 1997 Jun;22(3):371-87. doi: 10.1093/jpepsy/22.3.371.
6
Gender development in boys born with hypospadias.患有尿道下裂的男童的性别发育
Psychoneuroendocrinology. 1995;20(7):693-709. doi: 10.1016/0306-4530(95)00025-9.
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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.
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Satisfaction with penile appearance after hypospadias surgery: the patient and surgeon view.
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[Psychological characteristics of boys with hypospadias].[尿道下裂男孩的心理特征]
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Psychosexual adjustment of children and adolescents after different types of hypospadias surgery: a norm-related study.不同类型尿道下裂手术后儿童及青少年的性心理调适:一项与常模相关的研究。
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