Our Summary

This research paper examines the outcomes of a surgery called hypospadias repair, which is performed to correct a condition where the opening of the urethra is not at the tip of the penis. The study used questionnaires to measure how well the surgery worked, how it looked afterwards, and how it affected the patients emotionally.

The study involved 172 patients who had the surgery under the care of one surgeon. Out of these, 25 agreed to take part in a follow-up study using the questionnaires. These patients were observed for an average of 59 months after their surgeries.

The results showed that the surgery generally had good outcomes in terms of function, appearance, and emotional well-being. The scores on the questionnaires were mostly high, indicating satisfaction with the results. The scores were slightly lower for those who started with a more severe form of the condition, but there was no link between the severity of the condition or the type of surgical procedure used, and the patients’ quality of life after surgery.

The study concluded that using these questionnaires regularly could help doctors to better understand how well the surgery works and how satisfied patients are with the results.

FAQs

  1. What is the Hypospadias Objective Scoring Evaluation (HOSE) and how is it used in assessing hypospadias repair?
  2. How does the severity of hypospadias correlate with the Pediatric Penile Perception Scale (PPPS) scores?
  3. What were the key findings regarding the functional, cosmetic, and psychosocial outcomes after hypospadias repair?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hypospadias repair is to follow up with routine assessments using validated questionnaires such as the Hypospadias Objective Scoring Evaluation (HOSE), Pediatric Penile Perception Scale (PPPS), and Pediatric Quality of Life Inventory (PedsQL™4.0). These assessments can help objectively evaluate the functional, cosmetic, and psychosocial outcomes of the repair to ensure optimal results and patient satisfaction.

Suitable For

Patients with hypospadias who undergo surgical repair are typically recommended for follow-up using validated questionnaires to assess postoperative functional, cosmetic, and psychosocial outcomes. In this study, patients who underwent hypospadias repair using various techniques achieved generally good outcomes in terms of function and appearance. Patients with different severity of hypospadias may have varying outcomes, with those with glanular hypospadias scoring higher in terms of satisfaction compared to those with more severe forms of the condition. Routine follow-up using validated questionnaires may help in objectively assessing outcomes and patient satisfaction following hypospadias repair.

Timeline

Before hypospadias repair:

  • Patient is diagnosed with hypospadias, a congenital condition where the opening of the urethra is on the underside of the penis
  • Patient may experience difficulty with urination and sexual function
  • Patient and family consult with a surgeon to discuss treatment options

After hypospadias repair:

  • Patient undergoes surgery to correct the position of the urethral opening
  • Patient may experience pain, swelling, and discomfort postoperatively
  • Patient is followed up at regular intervals to assess functional, cosmetic, and psychosocial outcomes using validated questionnaires such as HOSE, PPPS, and PedsQL™4.0
  • Overall, patients generally report good functional and cosmetic outcomes, with higher scores on the questionnaires correlating with less severe hypospadias cases
  • Routine follow-up sessions with the use of validated questionnaires can help to objectively assess patient satisfaction and outcomes after hypospadias repair.

What to Ask Your Doctor

  1. What are the different surgical techniques available for hypospadias repair and which one do you recommend for my specific case?
  2. What is the expected outcome of the surgery in terms of functional and cosmetic results?
  3. How long is the recovery period after hypospadias repair surgery?
  4. Are there any potential risks or complications associated with the surgery that I should be aware of?
  5. Will there be a need for additional surgeries or follow-up procedures in the future?
  6. How will the surgery impact my child’s quality of life and psychosocial well-being?
  7. How often should my child be monitored post-surgery and what signs should I look out for that may indicate a complication?
  8. Will my child need any special care or restrictions after the surgery?
  9. Can you provide references or resources for further information on hypospadias repair and postoperative care?
  10. What is the success rate of hypospadias repair surgeries in your practice, and what is the long-term outlook for my child’s condition?

Reference

Authors: Liu MM, Holland AJ, Cass DT. Journal: J Pediatr Surg. 2015 Dec;50(12):2071-4. doi: 10.1016/j.jpedsurg.2015.08.047. Epub 2015 Sep 1. PMID: 26455467