Introducing the HOPE (Hypospadias Objective Penile Evaluation)-score: A validation study of an objective scoring system for evaluating cosmetic appearance in hypospadias patients

Toorn, F. van der; Jong, Tom P.V.M. de; Gier, R.P.E. de; Callewaert, P.; Horst, Eric H.J.R. van der; Steffens, M.G.; Hoebeke, Piet; Nijman, Rien J.M.; Bush, Nicol; Wolffenbuttel, Katja P.; Heijkant, M.M.C. van den; Capelle, Jan-Willem van; Wildhagen, Mark F.; Timman, Reinier; Busschbach, Jan J. V.

doi:10.1016/j.jpurol.2013.01.015

Cited by 100 publications

(58 citation statements)

References 24 publications

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“…Many different questionnaires (each with their own advantages/disadvantages) have been developed to evaluate the outcome after hypospadias repair. Some frequently used are the (Pediatric) Penile Perception Score (PPPS), the Hypospadias Objective Scoring System (HOSE), the Pediatric Quality of Life Inventory (PedsQl), and the Hypospadias Objective Penile Evaluation Score (HOPE) [24, 49, 51, 52]. …”

Section: Long-term Outcomesmentioning

confidence: 99%

Hypospadias, all there is to know

2017

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Hypospadias is one of the most common congenital anomalies in men. The condition is typically characterized by proximal displacement of the urethral opening, penile curvature, and a ventrally deficient hooded foreskin. In about 70%, the urethral meatus is located distally on the penile shaft; this is considered a mild form that is not associated with other urogenital deformities. The remaining 30% are proximal and often more complex. In these cases, endocrinological evaluation is advised to exclude disorders of sexual differentiation, especially in case of concomitant unilateral or bilateral undescended testis. Although the etiology of hypospadias is largely unknown, many hypotheses exist about genetic predisposition and hormonal influences. The goal of hypospadias repair is to achieve cosmetic and functional normality, and currently, surgery is recommended between 6 and 18 months of age. Hypospadias can be corrected at any age with comparable complication risk, functional, and cosmetic outcome; however, the optimal age of repair remains conclusive. Although long-term overall outcome concerning cosmetic appearance and sexual function is fairly good, after correction, men may more often be inhibited in seeking sexual contact. Moreover, lower urinary tract symptoms occur twice as often in patients undergoing hypospadias repair and can still occur many years after the initial repair. Conclusion: This study explores the most recent insights into the management of hypospadias. What is Known: • Guidelines advise referral for treatment between 6 and 18 months of age.• Cosmetic outcome is considered satisfactory in over 70% of all patients. What is New: • Long-term complications include urinary tract symptoms and sexual and cosmetic issues.• New developments allow a more individualized approach, hopefully leading to less complications and more patient satisfaction.

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Section: Long-term Outcomesmentioning

confidence: 99%

Hypospadias, all there is to know

2017

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“…Another photograph-based outcome instrument was recently described [25]. The hypospadias objective penile evaluation (HOPE) score was derived from meatal location and shape, glans shape, penile skin, and penile torsion or persistent ventral curvature.…”

Section: Determining Outcomesmentioning

confidence: 99%

Recent advances in understanding/management of hypospadias

Snodgrass¹,

Bush²

2014

F1000Prime Rep

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Hypospadias is the second most common birth anomaly, affecting 1 of every 300 males. The abnormal position of the urinary opening, and associated downward curvature of the penis in some cases, potentially impact both urinary and sexual function. Modern surgical correction most often involves tubularization of the urethral plate, those tissues which normally should have completed urethral development.This article discusses recent progress in hypospadias repair. Prospective data collection in consecutive patients promotes better understanding of both patient and technical factors that influence surgical complications. Patients with a proximal urinary opening near or within the scrotum, those failing prior to repairs, and/or those with a small glans diameter have increased likelihood for urethroplasty complications. Quality review of reliable data led to two layer urethroplasty covered with tunica vaginalis in proximal repairs, significantly reducing postoperative fistulas. Neither preoperative androgens used to grow a small diameter glans, nor a change in sutures used to approximate the glans wings reduced wound dehiscence, but a recent technical modification of the glansplasty with more extensive dissection before suturing has. The observation that reoperation increases risk for further complications three-fold suggests the less common proximal repairs and reoperations should be subspecialized so that designated surgeons can gain greater expertise.In addition, surgeons performing hypospadias repair must better define the complications that occur so that scientific reporting of outcomes becomes more standardized. Standardized objective means to assess results are also needed so that surgeons performing different repairs can compare outcomes.

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“…aesthetic appearance of the penis was acceptable. To evaluate the results of these three patients, we adopted the HOPE score which evaluates the position of the meatus, its shape, the shape of the glans, the penile skin as well as the existence of a curvature of the penis during erection [6]. We obtained in all cases a right result between 40 and 50 points.…”

Section: Resultsmentioning

confidence: 99%

Urethral duplication in male children's: report of four cases

Bakkaly¹,

Amiry²,

Lafia³

et al. 2018

Int J Surg Med

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Objective: To evaluate the medium-term outcomes of the management of children with urethral duplication. Materials and Methods: We report a retrospective study of four children carrying urethral duplication followed in our department over a period of 5 years from 2010 to 2015; Preoperative exploration was based on ultrasound, urethrocystography retrograde and the fistulography. Results: In our study, three patients had rare form of epispadias urethral duplication (complete type II of Effmann and Leibowitz) and one, a "Y" duplication (type II A2). We proceeded in all cases, to the resection of a super urethra excision. The follow up was from 6 months to 2 years for our patients. There was no infectious complication. For one patient with Y urethral duplication, a stenosis of the path of the dorsal urethra was preserved within complete urination. Conclusion: Urethral duplication on a boy is a rare anomaly of the urinary tract. The diagnosis and the determination of its type are based on the retrograde cystography. Its varied clinical expression depends on its anatomical type. If the diagnosis is established in a symptomatic context, the surgical indication is posed with good performances in most cases.

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Introducing the HOPE (Hypospadias Objective Penile Evaluation)-score: A validation study of an objective scoring system for evaluating cosmetic appearance in hypospadias patients

Cited by 100 publications

References 24 publications

Hypospadias, all there is to know

Hypospadias, all there is to know

Recent advances in understanding/management of hypospadias

Urethral duplication in male children's: report of four cases

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