Factors affecting long-term psychosocial outcomes after hypospadias repair

Authors

  • Saralee Mattanarommayakij Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand
  • Parichawan Chandarasiri Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand
  • Paisarn Vejchapipat Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand
  • Somboon Roekwibunsi Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand

Keywords:

Hypospadias, long term, psychosocial, outcome, urethro-cutaneous fistula

Abstract

Background: Hypospadias is one of the most common congenital 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.

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 were 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) recruited into the study. The patients underwent first hypospadias repair at the median of 3.5 years old (range 1 - 14). The types of hypospadias were namely: glandular type (1/38), corona type (5/38), midshaft type (10/38), and penoscroal type (22/38). The overall average score of satisfactory psychosocial outcomes was 25.3 ± 5.9 (range 14 - 37, maximal score = 39). Using simple linear regression analysis, factors affecting psychosocial outcomes (P < 0.05), were older age at first hypospadias surgery, mild type of hypospadias, technique of hypospadias repair, current urethro-cutaneous fistula, conduct problems, and abnormal peer difficulty problems. When applying multiple linear regression analysis, only 3 factors were significantly associated with psychosocial outcomes: severe type of hypospadias when compared with corona and mid-shaft type ( = 7.94 and 5.16, P = 0.001 and 0.005, respectively), current urethro-cutaneous fistula (= - 4.38, P = 0.02) and high peer difficulty problems, ( = - 5.88, P = 0.04).

Conclusion: Factors which affected long-term decreasing psychosocial satisfactory outcomes were penoscrotal hypospadias, current urethro-cutaneous fistula, and high peer difficulty problems

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References

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Published

2023-04-10

How to Cite

1.
Mattanarommayakij S, Chandarasiri P, Vejchapipat P, Roekwibunsi S. Factors affecting long-term psychosocial outcomes after hypospadias repair. Chula Med J [Internet]. 2023 Apr. 10 [cited 2024 Oct. 12];67(2). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/17