title: Assessment of postoperative outcomes of hypospadias repair with validated questionnaires.
abstract: OBJECTIVE
  A standardized assessment for the optimal repair of hypospadias remains elusive. This study utilized validated questionnaires to assess the postoperative functional, cosmetic, and psychosocial outcomes of hypospadias repair.
  
  
  METHODS
  172 patients who underwent hypospadias repair under the care of a single surgeon were identified. 25 agreed for follow-up using the validated questionnaires of Hypospadias Objective Scoring Evaluation (HOSE), Pediatric Penile Perception Scale (PPPS), and Pediatric Quality of Life Inventory (PedsQL™4.0).
  
  
  RESULTS
  Mean follow-up was 59months postoperatively (range 7-113months). Techniques used included tubularized incised plate urethroplasty, meatal advancement and glanuloplasty, and a 2-stage repair. 23 of 25 patients achieved a HOSE score of 14 or more (maximum of 16). The PPPS scores correlated with severity of the hypospadias. Those with glanular hypospadias (mean score=10) scored higher than those with coronal (mean score=9) and penile/penoscrotal hypospadias (mean score=7). There was no correlation between PedsQL™4.0 scores and the severity of hypospadias or procedure used.
  
  
  CONCLUSIONS
  Validated questionnaires revealed generally good functional, cosmetic, and early psychosocial outcomes after hypospadias repair. The use of validated questionnaires in routine follow-up sessions may facilitate objective assessment of both functional outcomes and patient satisfaction.
authors.affiliation: Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney Medical School, The University of Sydney, Westmead, Australia. Electronic address: mliu3584@uni.sydney.edu.au.
authors.forename: Mona M Y
authors.initials: MM
authors.lastname: Liu
authors.affiliation: Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney Medical School, The University of Sydney, Westmead, Australia.
authors.forename: Andrew J A
authors.initials: AJ
authors.lastname: Holland
authors.affiliation: Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney Medical School, The University of Sydney, Westmead, Australia.
authors.forename: Danny T
authors.initials: DT
authors.lastname: Cass
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery
keywords: Assessment; HOSE; Hypospadias; PPPS; PedsQL; Postoperative outcome