Difficulties in daily life among patients who underwent childhood hypospadias surgeries: A scoping review

抄録

This study aimed to comprehensively review research on adolescent and adult patients with hypospadias who underwent hypospadias surgery during childhood and clarify the difficulties in daily life experienced by them. The PubMed, CINAHL, and PsycINFO databases were searched for articles published between 1990 and 2023. The retrieved literature was independently reviewed by two investigators, and the studies to be included were determined by three investigators in accordance with the selection criteria. From the target literature, the results related to difficulties in the daily life of adolescent and adult patients who underwent hypospadias surgery during childhood were extracted and analyzed. A total of 23 articles were identified. The analysis revealed the following six core categories: perception of genital appearance, difficulties with sex, social acceptance, difficulty with urination, psychological problems, and immaturity in coping with health conditions. It has become clear that the difficulties experienced by patients in their daily lives are not only physical difficulties caused by symptoms and functional disorders but also psychosocial difficulties that affect their development and quality of life; therefore, the role of nurses in providing long-term medical support must be considered.