Outcome after Hypospadias Repair: Evaluation Using the Hypospadias Objective Penile Evaluation Score

Objective: To compare and analyze the clinical effects of microscopic surgery and conventional surgery in children with penile hypospadias and the differences in postoperative urodynamic indexes. Methods: It was a clinical comparative study. A total of 80 children with penile hypospadias admitted to Beijing Children’s Hospital Affiliated to Capital Medical University Baoding Hospital from July 2018 to September 2022 were selected and randomly divided into two group. The experimental group were treated with microscopic urethroplasty, while the control group were treated with traditional urethroplasty. The operative effect, operation time, total intraoperative blood loss, postoperative hospital stay and incidence of surgical complications were compared and analyzed between the two groups. All the children were followed up for two years, and the changes in urodynamic parameters including maximum urine flow rate (Qmax), average urine flow rate (Qavc), urine flow time (FT), peak time (TQmax) and residual urine (PVR) were compared before, two weeks after, six months after and two years after surgery. Results: The efficacy of the experimental group was significantly higher than that of the control group (p=0.013). The intraoperative blood loss and postoperative hospital stay in the experimental group were significantly better than those in the control group (p=0.000). The incidences of urinary leakage and urethral stricture in the experimental group were lower than those in the control group (p<0.05). The Qmax level in the experimental group was higher than that in the control group at six months and two years after surgery, while the FT level was lower than that of the control group (p<0.05). Conclusion: Microscopic surgery is a method with significant clinical value in the treatment of penile hypospadias. doi: https://doi.org/10.12669/pjms.39.5.6986 How to cite this: Guo S, Zheng W, Shi X, Zhang B, Wang J. Comparison of clinical effects between microscopic surgery and conventional surgery in children with penile hypospadias and difference analysis of postoperative urodynamics. Pak J Med Sci. 2023;39(5):---------. doi: https://doi.org/10.12669/pjms.39.5.6986 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…No improvement in the symptoms of the children. Total effective rate = (Markedly effective+effective)/total cases × 100% 8 ;…”

Section: Methodsmentioning

confidence: 99%

Comparison of clinical effects between microscopic surgery and conventional surgery in children with penile hypospadias and difference analysis of postoperative urodynamics

Guo

Zheng²,

Shi³

et al. 2023

Pak J Med Sci

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“…Scoring system that evaluates penile cosmetic appearance in hypospadias patients, through all surgical-correctable items: position of meatus, shape of meatus, shape of glans, shape of penile skin and penile axis which includes penile rotation and penile curvature if erection is observed. The total HOPE score ranges from 1 (one of worst appearance imaginable) to 10 (perfect) [9,10].…”

Section: Hypospadias Objective Penile Evaluation (Hope)mentioning

confidence: 99%

Long term follow-up on young adults that underwent hypospadias repair through urethral advancement in childhoodSeguimiento a largo plazo de adultos jóvenes con reparación de hipospadias mediante avance uretral en la infancia

2024

RIA

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Assess the long-term outcome on cosmetic appearance, voiding, sexual function, and psychological impact of young adults operated by urethral advance (UA) technique in childhood. Patients over 14 years old, who underwent UA hypospadias repair in our centre (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010) were evaluated. All patients presented mid-distal hypospadias with subcoronal or penile meatus and curvature lower than 20 • . The cosmetic appearance, urinary and sexual function, body perception and overall satisfaction were assessed through 5 questionnaires. From 2000 to 2010, 143 children underwent UA hypospadias repair. 36 patients between 14 and 27 years were evaluated. The Hypospadias Objective Penile Evaluation (HOPE) showed an average of 8.75 (+/− 0.97), which indicates a good aesthetic result. Voiding dysfunction symptoms were assessed through the American Urological Association Symptom Index (AUASI) where 80.6% had none or mild symptoms and 19.4% had moderate symptoms. Only 11/36 patients were sexually active, according to the International Index of Erectile Function (IIEF-15) scale, none had erectile dysfunction, and their relationships were satisfactory. Assessment of the body perception through the Genital Perception Scale (GPS) was positive or very positive in 88.9% of the patients. However, the perception of their genitals was positive or very positive in 77.8%, there is a negative correlation between the perception of their body and genitals in 13.9% of the patients. Our results indicate that UA technique for hypospadias repair might be a valid option for the correction of mid-distal hypospadias when indicated.

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“…Many years have passed since the inception of hypospadias surgery, during which reported outcomes have progressively improved (6) . The surgical purpose of hypospadias reform is for the boy to have a functionally and cosmetically normal penis (7) .…”

Section: Introductionmentioning

confidence: 99%

“…Although, the literature describes a vast array of repair techniques, a limited number of systems evaluate the findings of surgical procedures (7) . Hypospadias objective scoring evaluation (HOSE) is one of the standardized mechanisms utilized to assess postoperative outcomes.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Pre-operative GMS Hypospadias Score Correlation with Post-operative Outcomes (HOSE Score)

2024

The Egyptian Journal of Hospital Medicine

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Background: Among the most prevalent congenital abnormalities is hypospadias, a condition where the urethral opening is sited on the penis's ventral side. Evidence suggests that the incidence of hypospadias is on the rise. Having a penis that is functional and aesthetically normal for the boy is the surgical aim of hypospadias correction. Nevertheless, hypospadias surgery is still correlated with a great risk of complications, with a reported rate of 50% or more. Aim and objectives:This study aimed to determine the association among the pre-operative GMS score [glans (G), meatus (M), and penile shaft (S)] of boys with hypospadias and their postoperative hypospadias objective scoring evaluation (HOSE) score. Subjects and methods: This was a cross-sectional trail, in which, we enrolled 21 patients with hypospadias who presented to Pediatric Surgery Clinic, Suez Canal University hospital. The condition of the enrolled patients was assessed preoperatively by the GMS score and their postoperative outcomes were assessed by HOSE score. Results: Preoperative GMS scores and postoperative HOSE scores were not significantly associated with patients' characteristics. However, and more importantly, we found a significant positive connection among preoperative GMS score and postoperative HOSE score, where lower preoperative GMS score was associated with higher postoperative HOSE score. Conclusions: Hypospadias patients with severe conditions preoperatively, guided by GMS score, would have poorer postoperative outcomes, as assessed with HOSE scores.

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Outcome after Hypospadias Repair: Evaluation Using the Hypospadias Objective Penile Evaluation Score

Abstract: The HOPE-Score is a good system to assess the severity of hypospadias and the cosmetic outcome after hypospadias repair.

Cited by 9 publications

References 22 publications

Comparison of clinical effects between microscopic surgery and conventional surgery in children with penile hypospadias and difference analysis of postoperative urodynamics

Comparison of clinical effects between microscopic surgery and conventional surgery in children with penile hypospadias and difference analysis of postoperative urodynamics

Long term follow-up on young adults that underwent hypospadias repair through urethral advancement in childhoodSeguimiento a largo plazo de adultos jóvenes con reparación de hipospadias mediante avance uretral en la infancia

Evaluation of the Pre-operative GMS Hypospadias Score Correlation with Post-operative Outcomes (HOSE Score)

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