PS-07-010 Psychological survey and medical form to establish objective evaluation criteria of outcome about phalloplasty in pediatric age

Abstract

The problem of objective assessment about aesthetic/functional Results and psychological implication after male external genitalia reconstructive surgery is yet known in the literature. To establish objective evaluation criteria of outcome about De Castro’s neo-phalloplasty in children, we created a psychological survey submitted to patients/parents and a form with medical parameters evaluated from the surgeon Medical form is divided in subjective and objective parameters. Subjective (surgeons’, parents’ and patients’ estimations) parameters are: overall appearance of external genitalia, look of penis - scrotum - penile scars - abdominal scars and look/position of the umbilicus; scored as extremely-poor, poor, acceptable, good, excellent or better in a ranking from 0 to 10. Objective parameters are: Tanner scale, Faisal external and internal masculinization score, sex hormones attitude, length of the ventral and dorsal aspect of penis and difference between the two, penile diameter, location of the urethral ending, urinary continence/voiding, patient’s position during micturition, presence of penile erection – masturbation - erogenous areas - sexual intercourse – insertion of penile prosthesis. The survey evaluate patients and parents psychological/sexual aspects and quality of life post-phalloplasty. Tests used: Child Behaviour Checklist, Parenting Stress Index, Children Global Assessment Scale, Body Uneasiness Test, Revised Children’s Manifest Anxiety Scale, Beck Depression Inventory, Beck Anxiety Inventory, Multi-Attitude Suicide Tendency Scale, Gender Identity/Gender Dysphoria Questionnaire, Duss Tales, Utrecht Gender Dysphoria Scale, Body Image Scale, Recalled Childhood Gender Identity Scale