Functional and Cosmetic Urethroplasty Outcome, Emotional Stress after Genital Examination, Post Traumatic Stress Disorder, and Ages at the Time of Urethroplasty as Potential Risk Factor Causing Psychosocial Disorder of Hypospadia Children

Journal of Business & Economics Research (JBER)

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Title Functional and Cosmetic Urethroplasty Outcome, Emotional Stress after Genital Examination, Post Traumatic Stress Disorder, and Ages at the Time of Urethroplasty as Potential Risk Factor Causing Psychosocial Disorder of Hypospadia Children
 
Creator Duarsa, Gede Wirya Kusuma
Pratiwi, Dinar Ayu
Tirtayasa, Pande Wisnu
Yudiana, Wayan
Santosa, Kadek Budi
Oka, Anak Agung Gde
Wahyuni, Sri
Mahadewa, Tjokorda Gde Bagus
 
Subject PSC-17
HOPE score
GEDS
CRIES-13
PTSD
 
Description BACKGROUND: Children with hypospadias, being born with congenital abnormalities, having repeated genital examination, hospitalization, and undewent genital surgery, experienced psychological stress that may negatively affect their psychosocial life. Choosing the proper time of surgery as recommended is important, since it may have a positive impact on the psychosocial adaptation.
AIM: This study aims to find the risk factors causing psychosocial disorders in post-repair surgery on hypospadias children.
METHODS: This is a case control study, from 203 hypospadias patients underwent urethroplasty from 2009 to 2018. Subjets were screened for psychosocial disorders by Pediatric Symptoms Questionnaire 17 (PSC-17) questionnaire to find those with psychosocial disorders, score 15 or more (case group) and those without psychosocial disorders (control group), score 0-14. We traced back the data retrospectively from both group (history of utrethrocutaneous fistula and meatal stenosis, age upon urethroplasty) and collecting new ones (cosmetic outcome, emotional stress after genital examination, and the existence of PTSD). Fisher’s exact test was performed to see the Odds ratio (OR) for each variable.
RESULTS: Some children with hypospadias show impaired on psychocosial. Functional and cosmetic outcome not significantly different as potensial risk factor psychosocial disorders, genital examination doesn’t trigger psychological stress and also none children show PTSD symtomp after surgery. Comparison time of age urethroplasty did not differ significantly between two group
CONCLUSIONS: Twenty-nine children post urthroplasty show psychosocial disorders. Functional and cosmetic urethroplasty outcomes, emotional stress after genital examination, post-traumatic stress disorder were not risk factors of pshycosocial disorder of hypospadias patients. Ages at time of surgery did not differ significantly between two group and this is contradict to the previous recommendations.
 
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia; ID Design 2012/DOOEL Skopje, Republic of Macedonia
 
Date 2019-05-13
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
application/pdf
 
Identifier https://www.id-press.eu/mjms/article/view/oamjms.2019.227
10.3889/oamjms.2019.227
 
Source Open Access Macedonian Journal of Medical Sciences; Vol 7 No 9 (2019): May 15 (OAMJMS); 1452-1455
1857-9655
 
Language eng
 
Relation https://www.id-press.eu/mjms/article/view/oamjms.2019.227/3336
https://www.id-press.eu/mjms/article/view/oamjms.2019.227/3299
 
Rights Copyright (c) 2019 Gede Wirya Kusuma Duarsa, Dinar Ayu Pratiwi, Pande Wisnu Tirtayasa, Wayan Yudiana, Kadek Budi Santosa, Anak Agung Gde Oka, Sri Wahyuni, Tjokorda Gde Bagus Mahadewa
https://creativecommons.org/licenses/by-nc/4.0
 

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