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

Article Sidebar

PDF
Published: Sep 21, 2024
DOI: https://doi.org/10.61919/jhrr.v4i3.1532
Keywords:
Hypospadias, TIP Urethroplasty, Onlay Island Flap, Mathieu Repair, Cosmetic Outcomes, HOSE System, Pediatric Urology

Main Article Content

Muhammad Numair Tariq
Post Graduate Trainee, Urology, Ziauddin University, Karachi, Pakistan.
Syed Fahad Zahoor Zaidi
Fellow in Plastic Surgery, Plastic Surgery Department, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, Pakistan
Muhammad Daraz Khan
Associate Professor of Paediatric Surgery, Khalifa Gul Nawaz Medical Teaching Institute, Bannu, Pakistan
Asadullah Awan
Assistant Professor, Plastic Surgery Department, Dow International Medical College & Dow University of Health Sciences Ojha Campus, Karachi, Pakistan.
Masroor Ahmad
Assistant Professor, Department of Burns & Plastic Surgery, Bolan University of Medical and Health Sciences (BUMHS), Quetta, Pakistan.
Iqra Malik
University College of Medicine and Dentistry, Lahore, Pakistan.
Hafiz Faizan
Medical Officer, Accident and Emergency Department, Ch Rehmat Ali Trust Hospital, Lahore, Pakistan.
Hassham Bin Khalid
Resident, General Surgery Department, Sheikh Zayed Hospital, Lahore, Pakistan.
Muhammad Mudassir Mahboob
Specialist Registrar, Burns and Plastic Surgery Center, MTI HMC Hayatabad, Peshawar, Pakistan.

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.


 

Article Details

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
Issue
Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024
Section
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

References

van der Toorn F, de Jong TP, de Gier RP, Callewaert PR, van der Horst EH, Steffens MG, et al. Introducing the HOPE (Hypospadias Objective Penile Evaluation) score: A validation study of an objective scoring system for evaluating cosmetic appearance in hypospadias patients. J Pediatr Urol. 2013;9(6 Pt B):1006-1016. doi:10.1016/j.jpurol.2013.01.015.

Neheman A, Schwarztuch-Gildor O, Shumaker A, Beberashvili I, Arnon S, Zisman A, et al. Use of validated questionnaires to predict cosmetic outcomes of hypospadias repair. Children. 2024;11(2):189. doi:10.3390/children11020189.

Nerli RB, Chandra S, Rai S, Dixit NS. Grafted tubularised incised plate: A right option in the management of failed mid-penile and distal hypospadias. Afr J Paediatr Surg. 2023;20(3):197-201. doi:10.4103/ajps.ajps_19_22.

Snodgrass W, Bush NC. Re-operative urethroplasty after failed hypospadias repair: How prior surgery impacts risk for additional complications. J Pediatr Urol. 2017;13:289.e1-289.e6.

Pfistermuller KL, McArdle AJ, Cuckow PM. Meta-analysis of complication rates of the tubularized incised plate (TIP) repair. J Pediatr Urol. 2015;11:54-9.

Nerli RB, Guntaka AK, Patil RA, Patne PB. Dorsal inlay inner preputial graft for primary hypospadias repair. Afr J Paediatr Surg. 2014;11:105-8.

Patil JD, Mohamed YM, Farhan A, Corbally M. Outcomes assessment of hypospadias repair. Cureus. 2023;15.

Wirmer J, Fawzy M, Sennert M, Hadidi AT. Should we correct hypospadias during childhood? Decision regret and quality of life assessment (DRAQULA) study. J Pediatr Urol. 2023. In press.

Babu R, Chandrasekharam VVS. A meta-analysis comparing dorsal plication and ventral lengthening for chordee correction during primary proximal hypospadias repair. Pediatr Surg Int. 2022;38:389-98.

Rowe CK, Jamdee T, Foster C, Burke KA. Do the materials matter? A review of the literature and cosmetic outcomes in hypospadias surgery analysis of the materials properties of urethral stents for hypospadias repair. J Pediatr Urol. 2022;18:160-7.

Maheshwari M, Chaudhary G, Rastogi A, Kansal S, Kumar D, Chaudhary H. Correlation of GMS scoring system of hypospadias with post-operative complications. J Surg Sci. 2021;8:117-21.

Naumeri F, Munir MA, Ahmad HM, Sharif M, Awan NU, Butt G. Comparison of urethrocutaneous fistula rate after single dartos and double dartos tubularized incised plate urethroplasty in pediatric hypospadias. Cureus. 2021;13.

Luchtenberg ML, Maeckelberghe ELM, Locock L, Verhagen AAE. Understanding the child-doctor relationship in research participation: A qualitative study. BMC Pediatr. 2020;20:353.

Leunbach TL, O'Toole S, Springer A, Williamson PR, Ahmed SF. A systematic review of core outcomes for hypospadias surgery. Sex Dev. 2019;13:165-70.

Patnaik U, Nilakantan A, Bajpai R, Addya K. Comprehensive assessment in cosmetic rhinoplasty: The use of the Derriford appearance scale for evaluation of patients. Med J Armed Forces India. 2019;75:184-9.

Rosa F, Lohuis PJFM, Almeida J, Santos M, Oliveira J, Sousa CAE, et al. The Portuguese version of "The Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty": Validation and clinical application. Braz J Otorhinolaryngol. 2019;85:170-5.

Ghilli M, Mariniello MD, Ferrè F, Morganti R, Perre E, Novaro R, et al. Quality of life and satisfaction of patients after oncoplastic or traditional breast-conserving surgery using the BREAST-Q (BCT module): A prospective study. Breast Cancer. 2023;30:802-9.