Assessment of postoperative outcomes of hypospadias repair with validated questionnaires.

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.

• 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)
• 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)