Scoring System for Evaluating Cosmetic Appearance in Operated Hypospadias Patients

Cosmetic Outcomes in Hypospadias Surgery

Authors

  • 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.

DOI:

https://doi.org/10.61919/jhrr.v4i3.1532

Keywords:

Hypospadias, TIP Urethroplasty, Onlay Island Flap, Mathieu Repair, Cosmetic Outcomes, HOSE System, Pediatric Urology

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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Published

2024-09-21

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

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Copyright (c) 2024 Muhammad Numair Tariq, Syed Fahad Zahoor Zaidi, Muhammad Daraz Khan, Asadullah Awan, Masroor Ahmad, Iqra Malik, Hafiz Faizan, Hassham Bin Khalid, Muhammad Mudassir Mahboob

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