ПСИХОЛОШКИ АСПЕКТИ ДЕЧЈЕ ГЕНИТАЛНЕ ХИРУРГИЈЕ

Abstract

Although the children's urogenital surgery is discipline in expansion which successfully solves even the most complicated anomalies of urogeniral tract, only lately there is enough attention payed on the psychological aspects of these anomalies and surgical operatione on genitals. The boys with hypospadias, phimosis and other congenital anomalies represent a risky group for the difficulties in forming the sexual identity and for the apperance of different psychopathology in their chilhood and later in life. The surgical operation itself presents a traumatic situation for the child and it may discredit the later psychosexual development of these boys in a great deal. The priority is increasing the sensitivity of children's surgeons for these problems, not only for moderniting the surgical operation, considering the knowledge of normal psychologycal stages of development, but also for recognizing the psychological phenomena on time and for the consultative joining of the appropriate experts. It is very important to work with these children's parents in view of offering them help for better accepting their child’s organic problem, to be less anxious on account of the anomaly and the operation itself and to be more able for better understanding of their child's feelings and his experience. The child's actual psychological condition and his later psychosexual development depend to a great extent on their parent's correct attitude. The casuistical survey of the boys with hypospadias illustrates some of the psychological problems which appear with children who had an reparation of hypospadias.

Keywords: genital surgery, sexual identity, psychological reactions, hypospadia.