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[Psychosexual disorders following genital operations in urology]
1Abteilung für Sexualforschung des Universitätskrankenhauses Eppendorf, Hamburg, BRD.
Abstract:
Psychosexual and functional disorders following genital surgery can be understood within the context of general adaptation/maladaptation with severe illness and cancer. The psychodynamics and phases of psychic crises are described. Genital surgery injures sexual identity. The specific sexual consequences are psychosexual disorders such as avoidance, inappetence, specific anxieties, and functional disorders. As etiologic factors, unspecific psychogenic effects, more individual psychogenic symptomatology, and specific physical impairment of sexual functions overlap, in accordance to type of illness and surgery. These aspects are demonstrated by clinical problems. The consequences for psychological counselling and information of patients are discussed.
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