Mp21-14 Psychological Intervention in Hypospadias Patients May Prevent Long-Term Morbidity

You have accessJournal of UrologyPediatrics II (MP21)1 May 2024MP21-14 PSYCHOLOGICAL INTERVENTION IN HYPOSPADIAS PATIENTS MAY PREVENT LONG-TERM MORBIDITY Jacob A. Stevens, Anjali N. Patel, Kristin Ebert, Walid A. Farhat, and Vinaya P. Bhatia Jacob A. StevensJacob A. Stevens , Anjali N. PatelAnjali N. Patel , Kristin EbertKristin Ebert , Walid A. FarhatWalid A. Farhat , and Vinaya P. BhatiaVinaya P. Bhatia View All Author Informationhttps://doi.org/10.1097/01.JU.0001008844.84871.17.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Hypospadias patients require life-long follow-up, with quality of life being a crucial component. We previously developed a framework for health-related quality of life (HRQOL) in hypospadias and demonstrated that psychological comorbidity, found in up to 40% of patients, is often not adequately identified or addressed. At this time, we sought to identify the critical time period for psychological intervention for protection of psychological quality of life. METHODS: We conducted an IRB-approved semi-structured interview study using rigorous qualitative research methods. Eligible candidates were English speaking males with hypospadias and their parents if they were under 18 years, or romantic partners if older than 18. We utilized ICD 10 codes to identify potential participants and conducted video interviews (VB). Participants were categorized by age: 5-10 years (pre-pubertal), 11-15 years (pubertal), 16-20 years (post-pubertal), 21 and older (adults), and parents/partners. Interview questions were open-ended to encourage interviewees to discuss further concerns related to psychological and general quality of life, and codes were categorized by developmental stage to identify ideal timing for potential intervention. All interviews were coded by people experienced in qualitative coding (JS, AP). RESULTS: Eighteen out of 79 contacted families participated, and 32 interviews were conducted: 5 pre-pubertal, 5 pubertal, 3 post-pubertal and 5 adult patients, 13 parents, and 1 partner. Reasons for refusal included insufficient time (5 patients), discomfort with the subject matter (5 patients), did not see need for study (2 patients), no response to messages (39 patients) or combination/other (10 patients). Our analysis identified that patients as young as 11 sought psychological health referral to develop coping strategies for hypospadias care, and adults often voiced persistent sources of psychological distress related to their condition including its impact on their social life (Table 1). CONCLUSIONS: Proactive psychological health referral may be a valuable consideration in patients as young as 11 to 12 years old, especially if they are undergoing multiple surgeries for hypospadias. Further studies will be needed to clarify the type of therapy and duration needed to protect psychological quality of life. Source of Funding: NIH K12 Wisconsin Multidisciplinary Urologic Research Career Development Program 2K12DK100022-06 © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e335 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jacob A. Stevens More articles by this author Anjali N. Patel More articles by this author Kristin Ebert More articles by this author Walid A. Farhat More articles by this author Vinaya P. Bhatia More articles by this author Expand All Advertisement PDF downloadLoading ...