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Journal of Pediatric Psychology Advance Access originally published online on December 3, 2007
Journal of Pediatric Psychology 2008 33(5):520-535; doi:10.1093/jpepsy/jsm098
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Psychosocial Adjustment, Health-Related Quality of Life, and Psychosexual Development of Boys with Hypospadias: A Systematic Review

Verena B. Schönbucher, MSc, Daniel M. Weber, MD and Markus A. Landolt, PhD

University Children's Hospital Zurich, Switzerland

All correspondence concerning this article should be addressed to Verena B. Schönbucher, Pediatric Urology, University Children's Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland. E-mail: verena.schoenbucher{at}kispi.unizh.ch.


  Abstract

Objective A systematic review of studies on psychosocial adjustment, HRQoL (health-related quality of life), and psychosexual development of boys with hypospadias. Methods Research was conducted on several online bibliographic databases. Articles were selected on the basis of predefined criteria. Methodological quality was assessed by two independent reviewers who applied a standardized checklist. When possible, data analyses were performed by calculating effect sizes. Results Thirteen studies met the criteria for inclusion, whose methodological standard ranged from low to high quality. None of them has focused on HRQoL. Findings with regard to psychosocial and psychosexual adjustment were inconsistent, though they clearly showed that boys with hypospadias suffer from negative genital appraisal and sexual inhibitions. Overall, medical factors exerted a rather small influence. Psychosocial risk factors have hardly been examined so far. Conclusions The identification of psychosocial risk factors in methodologically sound studies is necessary to guarantee a comprehensive treatment for boys with hypospadias.

Key words: childhood and adolescence; health-related quality of life; hypospadias; psychosocial adjustment; psychosexual development.

Received April 30, 2007; revision received September 9, 2007; accepted September 18, 2007


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