An objective assessment of the results of hypospadias surgery

OBJECTIVE To compare the cosmetic result of tubularized incised‐plate urethroplasty (Snodgrass method) with that of two established techniques, the meatal‐based flap and onlay island flap repair. SUBJECTS AND METHODS Photographs of the penis after hypospadias repair in 32 boys were assessed by a pan...

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Bibliographic Details
Published in:BJU international 2005-07, Vol.96 (1), p.135-139
Main Authors: Ververidis, Moschos, Dickson, Alan P., Gough, David C.S.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child, Preschool
Humans
hypospadias
Hypospadias - surgery
Infant
Male
Malformations of the urinary system
meatal‐based flap
Medical sciences
Nephrology. Urinary tract diseases
onlay island flap
Reconstructive Surgical Procedures - methods
Stents
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Surgical Flaps
Treatment Outcome
tubularized incised‐plate urethroplasty
Urinary Catheterization
Urinary tract. Prostate gland
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Summary:OBJECTIVE To compare the cosmetic result of tubularized incised‐plate urethroplasty (Snodgrass method) with that of two established techniques, the meatal‐based flap and onlay island flap repair. SUBJECTS AND METHODS Photographs of the penis after hypospadias repair in 32 boys were assessed by a panel of five independent health professionals, including four surgeons with variable paediatric urological experience and a urology nurse. Twenty patients had a distal and 12 a proximal meatus. The Snodgrass technique was applied by one paediatric urologist for either distal (10) or proximal (six) hypospadias. A Mathieu repair was used for distal hypospadias (10) and an onlay preputial island flap for proximal hypospadias (six) by a second paediatric urologist. The panel was asked to grade cosmesis as poor, unsatisfactory, satisfactory or very good (points 1–4) for each of the following aspects of penile appearance: meatus, glans, shaft and overall appearance. Photographs were taken in a standard way, with a standard distance, lighting and two views, one of the dorsal surface and one ventral, for each patient. Signed written consent for the study was obtained from each family. RESULTS The mean assessment score for any aspect of cosmesis was significantly higher for the Snodgrass technique (P 
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2005.05582.x