TO DETERMINE THE OUTCOME OF HYPOSPADIAS SURGERY IN POPULATION OF AGE RANGES FROM 3 TO 20 YEARS USING HOSE SCORING.
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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.
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Dr Esha Ali
Burn and plastic surgery centre, Hayatabad Medical Complex, Peshawar
Dr Zulqurnain Younas
Plastic surgery department, Lady Reading Hospital, Peshawar
Dr Mohammad Aslam
Plastic surgery department, Lady Reading Hospital, Peshawar
Dr. Nazia Mubarik
Urology Department, District Head Quarters, Kohat