TO DETERMINE THE OUTCOME OF HYPOSPADIAS SURGERY IN POPULATION OF AGE RANGES FROM 3 TO 20 YEARS USING HOSE SCORING.

Main Article Content

Dr Esha Ali
Dr Zulqurnain Younas
Dr Mohammad Aslam
Dr. Nazia Mubarik

Keywords

Hypospadias, Complications, Assessment, Outcome, Audit

Abstract

OBJECTIVE: To determine the outcome of hypospadias surgery in population of age ranges from 3 to 20 years using HOSE scoring.


SUBJECT AND METHODS: The study (Descriptive cross sectional study) was conducted at Plastic Surgery Unit from 09-10-2019 to 09-04-2020 at Lady Reading Hospital, MTI Peshawar, Pakistan.  A comprehensive clinical history and thorough physical examination were conducted for all patients to establish the presence of hypospadias. A surgical procedure for hypospadias was conducted, followed by a comprehensive evaluation at the six-month postoperative mark. The results of hypospadias surgery were documented based on the HOSE scoring system. Patients who were lost to follow-up were dropped from the research. The hypospadias operations for all patients were conducted under the guidance of a proficient plastic surgeon with a minimum of five years of experience.


RESULTS: Mean and SDs for age was 12+3.43. Mean and SDs for erection was 25+11.62. Mean and SDs for follow up was 5+4.53. Mean and SDs for Post Op HOSE score was 15+1.97.


CONLCUSION: This study concurred that follow-up and adequate counseling of hypospadias patients up to adult life is of utmost importance therefore, it is recommended that further studies with long-term assessment should be designed in prospective studies.

Abstract 135 | PDF Downloads 71

References

1. Fernández VR, Cajal CLR, Ortiz EM, Carrera NS. Accurate diagnosis of severe hypospadias using 2D and 3D ultrasounds. Obstetr Gynecol. 2016:1-4.
2. Çayan F, Çayan S. Prenatal diagnosis of penoscrotal hypospadias and review of the literature. Turk J Urol. 2013;39(2):116-8.
3. Morales-Suárez-Varela MM, Toft GV, Jensen MS, Ramlau-Hansen C, Kaerlev L, Thulstrup AM et al. Parental occupational exposure to endocrine disrupting chemicals and male genital malformations: a study in the danish national birth cohort study. Environmental Health. 2011;10:3.
4. Manzoni G, Bracka A, Palminteri E and Marrocco G. Hypospadias surgery: when, what and by whom?. BJU Int. 2004;94(8):1188-95.
5 Bracka A. The role of two-stage repair in modern hypospadiology. Indian J Urol. 2008;24(2):210–218.
6 Smith ED. The history of hypospadias. Pediatr Surg Int. 1997;12:81±5.
7 Sabzehei MK, Mousavi-Bahar SH, Bazmamoun H. Urogenital and other associated anomalies in patients with anorectal malformations. Nephro-Urol Mon. 2011; 4(1):388-90.
8 Holland AJA, Smith GHM, Ross FI, Cass DT. HOSE: an objective scoring system for evaluating the results of hypospadias surgery. BJU Inte. 2001;88;255-58.
9 Naser S. Hussein, Shapiee Bin Abd Samat, Mohd Arif Kor Abdullah and Mohd Nor Gohar. Cosmetic and functional outcomes of two-stage hypospadias repair: an objective scoring evaluation and uroflowmetry. Turk J Urol. 2013;39(2):90–95.
10 Thiry S, Saussez T, Dormeus S, Tombal B, Wese FX, Feyaerts A. Long-term functional, cosmetic and sexual outcomes of hypospadias correction performed in childhood. Urol Int. 2015;95:137-141.
11 Al-Adl AM, El-Karamany TM and Bassiouny AS. Distal extension of the midline urethral-plate incision in the Snodgrass hypospadias repair: An objective assessment of the functional and cosmetic outcomes. Arab J Urol. 2014;12(2):116-26.
12 van der Horst HJ, de Wall LL. Hypospadias, all there is to know. Eur J Pediatr. 2017 Apr. 176 (4):435-441.
13 Hadidi AT. History of hypospadias: Lost in translation. J Pediatr Surg. 2017 Feb. 52 (2):211-217.
14 Baskin LS. Hypospadias and urethral development. J Urol. 2000 Mar. 163 (3):951-6.