Scoring System for Evaluating Cosmetic Appearance in Operated Hypospadias Patients Cosmetic Outcomes in Hypospadias Surgery

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Muhammad Numair Tariq
Syed Fahad Zahoor Zaidi
Muhammad Daraz Khan
Asadullah Awan
Masroor Ahmad
Iqra Malik
Hafiz Faizan
Hassham Bin Khalid
Muhammad Mudassir Mahboob

Abstract

Background: Hypospadias is a common congenital anomaly affecting male infants, characterized by abnormal positioning of the urethral meatus. Surgical correction aims to achieve both functional and cosmetic outcomes.
Objective: To evaluate the cosmetic outcomes of hypospadias surgery using a standardized scoring system.
Methods: A prospective observational study was conducted at Shaheed Mohtarma Benazir Bhutto Institute of Trauma from January to July 2023, including 154 male infants and young children who underwent primary hypospadias repair.
The surgeries performed were Tubularized Incised Plate (TIP) urethroplasty, Onlay Island Flap, and Mathieu repair. Cosmetic outcomes were assessed using the Hypospadias Objective Scoring Evaluation (HOSE) system. Data were analyzed using SPSS version 25.
Results: The mean age at surgery was 2.8 years. Distal hypospadias was most common (62%), followed by midshaft (28%) and proximal (10%). TIP urethroplasty had the highest mean HOSE score (15.4 ± 1.0), with 86% achieving satisfactory outcomes. Onlay Island Flap scored 14.9 ± 1.2, and Mathieu repair scored 14.2 ± 1.5. Residual penile curvature was noted in 15% and scarring in 12% of cases.
Conclusion: TIP urethroplasty yielded the most favorable cosmetic outcomes in distal hypospadias. Standardized scoring systems are crucial for evaluating surgical success.


 

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How to Cite
Muhammad Numair Tariq, Syed Fahad Zahoor Zaidi, Muhammad Daraz Khan, Asadullah Awan, Masroor Ahmad, Iqra Malik, Hafiz Faizan, Hassham Bin Khalid, & Muhammad Mudassir Mahboob. (2024). Scoring System for Evaluating Cosmetic Appearance in Operated Hypospadias Patients: Cosmetic Outcomes in Hypospadias Surgery. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1532
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Articles

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