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A brief primer for pediatric urologists and surgeons on developmental psychopathology in the exstrophy-epispadias
1Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA. william-reiner@ouhsc.edu
Insights
Pediatric urologists can identify developmental psychopathology in children with bladder exstrophy. Early detection and intervention are crucial for managing these common, evolving conditions.
Area of Science:
- Pediatric Urology
- Developmental Psychopathology
- Child Psychology
Background:
- Developmental psychopathology frequently affects children diagnosed with bladder exstrophy.
- These psychological conditions can range from mild to severe and may change over a child's development.
Purpose of the Study:
- To outline methods for pediatric urologists to identify early signs of developmental psychopathology in children with exstrophy.
- To provide guidance on establishing appropriate referrals and educating consultants.
Main Methods:
- Utilizing screening instruments to identify children needing further psychological assessment.
- Educating parents and children about developmental psychopathology related to exstrophy.
- Training child psychology and psychiatry consultants on the clinical aspects of exstrophy.
Main Results:
- Pediatric urologists are well-positioned to detect early psychopathology in this patient group.
- Specific techniques and screening tools can aid in identification.
- Parental and child education is a key component of management.
Conclusions:
- Early identification and intervention for developmental psychopathology in children with exstrophy are essential.
- Collaboration between urologists and mental health professionals improves patient outcomes.
- Educating all stakeholders facilitates comprehensive care for affected children.
Abstract:
Developmental psychopathology is common in children with exstrophy. It may be mild or severe, and it may persist or transform as the child grows. The pediatric urologist is ideally situated to identify signs or symptoms of early developmental psychopathology in these children. Presented in this article are techniques for identifying the child requiring full assessment and for establishing referral-consultants. Screening instruments are suggested, as well as how to use these to educate the parents and the child. Methods are provided to identify, as well as to educate, selected consultants in child psychology and psychiatry about the clinical realities of exstrophy.
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