Abstract | PURPOSE: A standardized assessment for the optimal repair of hypospadias remains elusive. This study utilized validated questionnaires to assess the postoperative functional, cosmetic, and psychosocial outcomes of hypospadias repair. MATERIALS AND METHODS: 172 patients who underwent hypospadias repair under the care of a single surgeon were identified. 25 agreed for follow-up using the validated questionnaires of Hypospadias Objective Scoring Evaluation (HOSE), Pediatric Penile Perception Scale (PPPS), and Pediatric Quality of Life Inventory (PedsQL™4.0). RESULTS: Mean follow-up was 59months postoperatively (range 7-113months). Techniques used included tubularized incised plate urethroplasty, meatal advancement and glanuloplasty, and a 2-stage repair. 23 of 25 patients achieved a HOSE score of 14 or more (maximum of 16). The PPPS scores correlated with severity of the hypospadias. Those with glanular hypospadias (mean score=10) scored higher than those with coronal (mean score=9) and penile/penoscrotal hypospadias (mean score=7). There was no correlation between PedsQL™4.0 scores and the severity of hypospadias or procedure used. CONCLUSION: Validated questionnaires revealed generally good functional, cosmetic, and early psychosocial outcomes after hypospadias repair. The use of validated questionnaires in routine follow-up sessions may facilitate objective assessment of both functional outcomes and patient satisfaction.
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Authors | Mona M Y Liu, Andrew J A Holland, Danny T Cass |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 50
Issue 12
Pg. 2071-4
(Dec 2015)
ISSN: 1531-5037 [Electronic] United States |
PMID | 26455467
(Publication Type: Journal Article)
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Copyright | Copyright © 2015 Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Child
- Child, Preschool
- Follow-Up Studies
- Humans
- Hypospadias
(physiopathology, psychology, surgery)
- Infant
- Male
- Penis
(surgery)
- Quality of Life
- Plastic Surgery Procedures
(methods)
- Retrospective Studies
- Surveys and Questionnaires
- Treatment Outcome
- Urethra
(surgery)
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