Does socioeconomic opportunity impact distal hypospadias surgical outcomes or post-operative care?

• Published in: Journal of pediatric urology 2025-02, Vol.21 (1), p.136-146
• Main Authors: Beland, Leah E., Siegal, Alexandra R., Hyacinthe, Nathan, Long, Christopher J., Zaontz, Mark R., Godlewski, Karl F., Weiss, Dana A., Van Batavia, Jason P., Ai, Emily, Moran, Christopher J., Shukla, Aseem R., Srinivasan, Arun K., Mittal, Sameer, Zderic, Stephen A., Kolon, Thomas F., Fischer, Katherine M.
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Child, Preschool; Complications; Humans; Hypospadias; Hypospadias - surgery; Infant; Male; Opportunity; Pediatric; Postoperative Care - methods; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Race; Retrospective Studies; Social Determinants of Health; Socioeconomic Factors; Socioeconomic status; Treatment Outcome; Urologic Surgical Procedures, Male - adverse effects; Urologic Surgical Procedures, Male - methods
• ISSN: 1477-5131; 1873-4898; 1873-4898
• DOI: 10.1016/j.jpurol.2024.09.012

Complications following hypospadias repair are common and several risk factors have been implicated such as penile biometrics and surgeon experience. Less well understood is that impact that social determinants of health have on hypospadias outcomes. Anatomic and technical factors have been identified that contribute to complications; however, the impact that social determinants of health have on outcomes remains unclear. We hypothesized that the development of complications following distal hypospadias repair in children is negatively associated with the presence of resources and conditions necessary for development. A retrospective analysis of children ≤18 years who underwent distal hypospadias repair from January 2016 to December 2022 was performed. Patients with  0.05). Glans width, degree of chordee, and repair type were associated with complications on univariate regression analysis (p