Schönbucher V, Landolt M A, Gobet R, Weber D M
Urologische Abteilung, Universitäts-Kinderspital Zürich, Steinwiesstrasse 75, Zürich, Switzerland.
Urologe A. 2007 Dec;46(12):1676-81. doi: 10.1007/s00120-007-1306-9.
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.
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。