Journal of Pediatric Urology vol:6 issue:1 pages:54-59
Objective. Patients operated on for hypospadias often display a range of emotional and functional postoperative problems at an early age. This study explores the social, psychosocial and sexual development in adolescent boys operated on for hypospadias at an early age. Patients and method. Ten boys between the ages of 11 and 18 years old and an age-matched reference group of 10 boys completed 3 mailed questionnaires; namely the Child Behavior Checklist/4-18; the Youth Self Report and the Self Perception Profile for Adolescents. Data on the boy image and genital perception on the one hand and social; psychosocial and sexual development on the other hand were gathered by an interview and standardized questionnaire. Results. Internalizing or externalizing problems were not reported to be increased. Boys operated on for hypospadias had a significant lower score on the SPPA-scale Social Acceptance. Fewer boys in the clinical group considered their penis to be normal or judged their penis as similar as that of friends. No difficulties were found considering the psychosocial or sexual development. There was however a tend towards significance for a more negative genital appraisal. Conclusion. Boys operated on for hypospadias appear to have a normal social; psychosocial and sexual development.