Mureau M A
Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinder- en Jeugdpsychiatrie.
Ned Tijdschr Geneeskd. 1997 Jan 25;141(4):188-91.
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.
最近公布了有关尿道下裂手术矫正对心理性和心理社会发展以及生殖器感知的长期影响的结果。将尿道下裂患者（9至38岁）与接受腹股沟疝手术的年龄匹配男性进行比较。采用了半结构化访谈和标准化心理问卷。尿道下裂患者并未表现出心理性适应障碍，但他们报告称，由于对阴茎外观感到尴尬，在寻求性接触方面存在明显更多的抑制。此外，尿道下裂患者对自己阴茎外观的满意度明显较低，主要是因为外观像包皮环切且长度较短。尿道下裂患者与对照男性在心理社会功能方面未发现差异。调查后，8%的患者因手术功能或美容效果不佳而接受了再次手术。建议将所有尿道下裂患者在青春期至少就诊一次作为标准治疗程序，以便为一小部分有心理性或心理社会问题的患者提供最佳护理。
