Eray Nur, Dogangun Burak, Kayaalp Levent, Emir Haluk, Soylet Yunus, Danismend Nur, Buyukunal S N Cenk
Division of Pediatric Urology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
J Pediatr Urol. 2005 Apr;1(2):75-80. doi: 10.1016/j.jpurol.2004.12.003.
The aim of this study is to investigate in Turkish boys the emotional effects of hypospadias repair before and after the optimal age for repair.
Forty hypospadias patients treated in our department were included in this study. Group 1 consisted of 13 patients operated on at less than 30 months of age. Group 2 consisted of 27 patients operated on at over 30 months of age. Age at time of study, severity of hypospadias, age at repair and number of operations were evaluated for both groups retrospectively. Socio-economic and socio-demographic characteristics of these patients including place of residence, educational level of their parents and parental occupations were determined. The Turkish versions of the Children's Depression Inventory and the State-Trait Anxiety Inventory for Children A-State scale were used to evaluate the emotional effects of hypospadias surgery. For statistical analysis, the Mann-Whitney U test, Student's t test and Chi-squared test were used.
There was a significant difference in the age at repair between Groups 1 and 2. No significant differences existed in severity of hypospadias and number of operations between the two groups. All 40 patients had the same socio-economic and socio-demographic characteristics. Group 1 did not significantly differ from Group 2 in regard to the educational level of their parents and parental occupations. Age at repair, which was the only difference between the two groups, did not affect the level of depression and anxiety-state symptoms.
There is a close relationship between emotional effect of hypospadias surgery and age at repair. Possibility of depression and anxiety, which were dominating emotional symptoms among boys operated on for hypospadias, was found not to be high after the recommended age. It is concluded that, as hypospadias surgery creates a circumcised penis, the degree of emotional trauma is lower in Turkish boys than in other nationalities.
本研究旨在调查在土耳其男孩中，尿道下裂修复手术在最佳修复年龄前后的情感影响。
本研究纳入了在我们科室接受治疗的40例尿道下裂患者。第1组由13例在30个月龄以下接受手术的患者组成。第2组由27例在30个月龄以上接受手术的患者组成。对两组患者的研究时年龄、尿道下裂严重程度、修复年龄和手术次数进行回顾性评估。确定了这些患者的社会经济和社会人口学特征，包括居住地、父母教育水平和父母职业。使用儿童抑郁量表的土耳其语版本以及儿童状态-特质焦虑量表的A-状态量表来评估尿道下裂手术的情感影响。进行统计分析时，使用了曼-惠特尼U检验、学生t检验和卡方检验。
第1组和第2组在修复年龄上存在显著差异。两组在尿道下裂严重程度和手术次数上无显著差异。所有40例患者具有相同的社会经济和社会人口学特征。第1组在父母教育水平和父母职业方面与第2组无显著差异。修复年龄是两组之间唯一的差异，但它并未影响抑郁和焦虑状态症状的水平。
尿道下裂手术的情感影响与修复年龄密切相关。对于接受尿道下裂手术的男孩来说，抑郁和焦虑是主要的情感症状，在推荐年龄之后，发现出现这些症状的可能性不高。得出的结论是，由于尿道下裂手术会造出类似包皮环切后的阴茎，土耳其男孩的情感创伤程度低于其他民族。
