Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct;56(10):1514-1520.
doi: 10.1111/jpc.15075. Epub 2020 Sep 3.

Parental decision regret in childhood hypospadias surgery: A systematic review

Sergey Vavilov  1   2 , Grahame Smith  3 , Malcolm Starkey  4   5 , Peter Pockney  1   2 , Aniruddh V Deshpande  3   5   6
Affiliations

Parental decision regret in childhood hypospadias surgery: A systematic review

Sergey Vavilov et al. J Paediatr Child Health. 2020 Oct.

Abstract

We conducted a systematic review of the literature to establish the prevalence of and predictive factors for parental decision regret in hypospadias surgery. A search strategy without language restrictions was developed with expert help, and two reviewers undertook independent study selection. Five studies were included in this review (four for quantitative analysis) with a total of 783 participants. The mean overall prevalence of parental decision regret was 65.2% (moderate to severe - 20.3%). Although significant predictors of regret were identified (post-operative complications, small size glans, meatal location, decision conflict between parents, parental educational level and others), they had unexplained discordance between studies. Parental decision regret after proximal hypospadias surgery and refusing surgery was inadequately reported. In conclusion, even though the prevalence of parental decision regret after consenting for the hypospadias repair appears to be high, risk factors associated with it were discordant suggesting imprecision in estimates due to unknown confounders.

Keywords: ethic; general paediatrics; surgery; urology/gynaecology.

PubMed Disclaimer

References

    1. Springer A, van den Heijkant M, Baumann S. Worldwide prevalence of hypospadias. J. Pediatr. Urol. 2016; 12: 152.e1-7.
    1. Schneuer FJ, Holland AJA, Pereira G, Bower C, Nassar N. Prevalence, repairs and complications of hypospadias: An Australian population-based study. Arch. Dis. Child. 2015; 100: 1038-43.
    1. Rehfuss A, Kogan B. Psychological health and pediatric urology: The missing chapter in our surgical atlas. J. Urol. 2017; 198: 753-4.
    1. Lyons-Ruth K, Wolfe R, Lyubchik A. Depression and the parenting of young children: Making the case for early preventive mental health services. Harv. Rev. Psychiatry 2000; 8: 148-53.
    1. Scrimin S, Haynes M, Altoè G, Bornstein MH, Axia G. Anxiety and stress in mothers and fathers in the 24 h after their child's surgery. Child Care Health Dev. 2009; 35: 227-33.

Publication types

LinkOut - more resources