Assessment of postoperative outcomes of hypospadias repair with validated questionnaires

作者：Liu Mona M Y^*; Holland Andrew J A; Cass Danny T

来源：Journal of Pediatric Surgery, 2015, 50(12): 2071-2074.

DOI：10.1016/j.jpedsurg.2015.08.047

• Hypospadias
• Postoperative outcome
• Assessment
• HOSE
• PPPS
• PedsQL

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 (TM) 4.0).
Results: Mean follow-up was 59 months postoperatively (range 7-113 months). 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 (TM) 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.

• 出版日期2015-12