title: Voiding patterns of adult patients who underwent hypospadias repair in childhood.
abstract: OBJECTIVE
  This study aimed at evaluating the voiding patterns of adult patients who underwent hypospadias repair in childhood.
  
  
  METHODS
  Following IRB approval 103 (22.7%) of 449 adult patients who underwent hypospadias repair between 1978 and 1993 responded to the following questionnaires: International Prostate Symptom Score (I-PSS) and Short Form 12 questionnaire (SF-12). Uroflowmetry (UF) was performed for all patients. The patients were divided into three groups according to the primary meatus localization. Group I had 63 patients (61.5%) treated for glanular hypospadias, group II had 19 patients (18.4%) treated for distal hypospadias, and group III comprised the remaining 21 patients (20.4%) treated for proximal hypospadias.
  
  
  RESULTS
  The mean ± SD I-PSS score for all patients who responded to the questionnaire was 2.3 ± 2.4, and UF was 21.1 ± 4.3 mL/s. The patients from groups I and III had fewer urinary symptoms compared with those of the group II: 1.3 ± 1.5, 5.5 ± 2.4, and 1.6 ± 1.4, respectively (p < 0.0001). With regards to UF, the patients from the groups I and III did better compared with those from the group II: 22.1 ± 4.1 mL/s, 18.91 ± 4.2 mL/s, and 20.11 ± 3.42 mL/s, respectively (p = 0.021) (Figure). The UF was better in patients with normal vs. abnormal IPSS (p = 0.0064). The physical component summary was 49.8 ± 10.3, 51.1 ± 3.6, and 46.4 ± 0.3 in groups I, II, and III, respectively. The mental summary component was 42.64 ± 4.1, 42.2 ± 2.4, and 39.89 ± 2.9 in groups I, II, and III, respectively.
  
  
  CONCLUSIONS
  Most of the adult patients who underwent hypospadias repair in childhood had normal or mild voiding disturbance, with no effects on their physical or mental status.
authors.affiliation: Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
authors.forename: Jawdat
authors.initials: J
authors.lastname: Jaber
authors.affiliation: Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
authors.forename: Stanislav
authors.initials: S
authors.lastname: Kocherov
authors.affiliation: Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
authors.forename: Leonid
authors.initials: L
authors.lastname: Chertin
authors.affiliation: Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
authors.forename: Amicur
authors.initials: A
authors.lastname: Farkas
authors.affiliation: Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel. Electronic address: boris.chertin@gmail.com.
authors.forename: Boris
authors.initials: B
authors.lastname: Chertin
mesh_terms: D000328:Adult; D000367:Age Factors; D002648:Child; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000473:pathology* / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000637:transplantation; D011795:Surveys and Questionnaires; D013997:Time Factors; D014554:Urination / Q000502:physiology*; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D055815:Young Adult
keywords: Hypospadias repair; Long-term follow-up; Voiding pattern