Abstract
Background: Congenital hypospadias is one of the most common genital malformations. Despite current progress in surgical techniques, long-term psychosocial outcomes received little attention.
Objective: To evaluate long-term psychosocial outcomes after hypospadias repair and analyze the root causes regarding satisfactory outcomes.
Patients and methods: Patients who underwent hypospadias repair during childhood period were recruited. Regarding psychosocial outcomes, the patients were invited for evaluation by the questionnaires in Thai version form. Data was analyzed by STATA program. Univariate analysis and multiple linear regression were used for statistical analysis.
Results: There were 38 hypospadias patients, median age =14 years (range 11-27) participating in the study. The patients underwent first hypospadias repair at median 3.5 years of age (range 1-14). The types of hypospadias were glandular type (1/38), corona type (5/38), midshaft type (10/38) and penoscrotal type (22/38). The overall average score of satisfactory psychosocial outcomes was 25.31+/-5.86 (range 14-37, maximal score =39). Using simple linear regression analysis, factors affecting psychosocial outcomes (P
Conclusion: Factors which affected long-term decreasing psychosocial satisfactory outcomes were penoscrotal hypospadias, current urethro-cutaneous fistula, and high peer difficulty problems.
DOI
10.56808/2673-060X.1007
Recommended Citation
Matanaromyakit, Saralee
(2024)
"Factors affecting long-term psychosocial outcomes after hypospadias repair,"
Chulalongkorn Medical Journal: Vol. 67:
Iss.
2, Article 9.
DOI: https://doi.org/10.56808/2673-060X.1007
Available at:
https://digital.car.chula.ac.th/clmjournal/vol67/iss2/9