Objective: To compare the psychosocial adaptation of boys with hypospadias after genital surgery to a community sample.
Methods: Boys (6 to 10 years) with a history of hypospadias repair (n = 175) were compared with a community sample (n = 333) in a postal questionnaire survey using the Child Behavior Checklist.
Results: Few significant differences between cases and controls emerged. Boys with hypospadias were (slightly) lower in social involvement but did not perform more poorly in school. Boys with hypospadias displayed fewer externalizing behavior problems than controls, but a significant difference in nocturnal enuresis was not detected. Level of behavior problems did not differentiate hypospadias severity subgroups, but greater surgical and hospitalization experiences were associated with increased internalizing problems. Poorer cosmetic appearance of the genitals was associated with worse school performance.
Conclusions: Surgically corrected hypospadias should not be considered a risk factor for poor psychosocial adaptation in childhood, but emotional problems increase with the number of hospital-related experiences.
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Introduction Explicit outcomes routinely measured across the life span following hypospadias surgery, defined by a core outcome set (COS), will harmonize and overcome reporting heterogeneity. Methods Age specific outcomes identified in a literature review were presented in a three round Delphi survey. Participants (professionals, parents and patients) were encouraged to suggest outcomes in the first Delphi round.
View Article and Find Full Text PDFPediatric penile anthropometry nomogram: Establishing standardized reference values.
J Pediatr Urol
December 2024
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address:
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- The study aims to create an age-related penile length nomogram for Indian boys aged 1-14 to assess normal development and detect abnormalities like hypospadias.
- It involved 1276 volunteers, using generalized additive models to analyze the relationship between age and stretched penile length (SPL).
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Adherence to follow-up ten years after hypospadias repair.
J Pediatr Urol
November 2024
Division of Pediatric Urology, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
Introduction: Periodic follow-up prior to and after puberty to evaluate for long-term sequalae following hypospadias repair is commonly recommended. Few studies have evaluated this follow-up, especially into adulthood. This study aimed to evaluate adherence to routine postoperative follow-up appointments over 10 years following elective hypospadias repair.
View Article and Find Full Text PDFPrevalence, Incidence, and Age at Diagnosis of Boys With Hypospadias: A Nationwide Population-Based Epidemiological Study.
J Urol
November 2024
Department of Clinical Medicine, Aarhus University, Aarhus, Central Region Denmark, Denmark.
Purpose: The aim of this study was to assess the diagnostic prevalence, incidence, diagnostic age, and surgical volume of hypospadias in Denmark.
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Medicina (Kaunas)
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Department of Traumatology and Pediatric Surgery, Semey Medical University, Semey 071400, Kazakhstan.
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