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。
Psychosexual adjustment of children and adolescents after different types of hypospadias surgery: a norm-related study.
作者信息
Mureau M A, Slijper F M, Nijman R J, van der Meulen J C, Verhulst F C, Slob A K
机构信息
Department of Child and Adolescent Psychiatry, Sophia Children's Hospital, Rotterdam, The Netherlands.
出版信息
J Urol. 1995 Nov;154(5):1902-7.
PURPOSE
We studied the psychosexual adjustment, sexual behavior and genital appraisal of 9 to 18-year-old hypospadias patients.
MATERIALS AND METHODS
We interviewed 116 hypospadias patients and 88 comparison subjects in a semi-structured manner.
RESULTS
Hypospadias patients had a more negative genital appraisal and anticipated more ridicule by a partner because of penile appearance than comparison subjects but they did not have a different sexual adjustment. No significant impact of medical treatment (surgical procedures, number of operations or age at final surgery) was noted. Many hypospadias patients (38.8%) desired functional or cosmetic penile improvement.
CONCLUSIONS
In addition to procedures that bring the meatus to a more terminal position, those that bring it more ventral can be performed without negatively affecting psychosexual adjustment. Hypospadias patients were reluctant to seek advice for problems and, therefore, they should be followed through adolescence.
目的
我们研究了9至18岁尿道下裂患者的性心理调适、性行为及生殖器评估。
材料与方法
我们以半结构化方式访谈了116例尿道下裂患者和88例对照受试者。
结果
与对照受试者相比，尿道下裂患者对生殖器的评估更为负面，且因阴茎外观而预期会受到伴侣更多嘲笑，但他们的性调适并无差异。未发现医疗治疗（手术程序、手术次数或最终手术年龄）有显著影响。许多尿道下裂患者（38.8%）希望改善阴茎功能或外观。
结论
除了将尿道口移至更接近阴茎末端位置的手术外，那些使尿道口更靠近腹侧的手术也可进行，且不会对性心理调适产生负面影响。尿道下裂患者不愿就问题寻求建议，因此，应对他们进行青春期全程跟踪。
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