Eur J Pediatr Surg 2018; 28(03): 268-272
DOI: 10.1055/s-0037-1602252
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Outcome after Hypospadias Repair: Evaluation Using the Hypospadias Objective Penile Evaluation Score

Sarah Krull
1  Department of Pediatrics, Klinikum Magdeburg gGmbH, Magdeburg, Sachsen-Anhalt, Germany
,
Anke Rissmann
2  Malformation Monitoring Centre of Saxony-Anhalt, Medical Faculty Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
,
Hardy Krause
3  Division of Pediatric Surgery, Department of General, Abdominal & Vascular Surgery, University Hospital, Magdeburg, Sachsen-Anhalt, Germany
,
Klaus Mohnike
4  Department of Pediatric Endocrinology, Universitatsklinikum Magdeburg Kinderklinik, Magdeburg, Sachsen-Anhalt, Germany
,
Friedrich-Wilhelm Roehl
5  Department for Biometry and Medical Informatics, Universitätsklinikum Magdeburg, Sachsen-Anhalt, Germany
,
Andrea Koehn
2  Malformation Monitoring Centre of Saxony-Anhalt, Medical Faculty Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
,
Hans-Juergen Hass
3  Division of Pediatric Surgery, Department of General, Abdominal & Vascular Surgery, University Hospital, Magdeburg, Sachsen-Anhalt, Germany
› Author Affiliations
Further Information

Publication History

23 December 2016

11 March 2017

Publication Date:
15 May 2017 (eFirst)

Abstract

Introduction The Hypospadias Objective Penile Evaluation Score (HOPE-Score) is a concise and reproducible way to describe hypospadias severity. We classified boys undergoing primary hypospadias repair to determine the correlation between the HOPE-Score and the severity of hypospadias first and the outcome after surgery second.

Materials and Methods Patients who underwent primary hypospadias repair from 2005 to 2014 were identified. An independent physician assessed retrospectively the HOPE-Score, using photographies of the patients before, after primary surgery, and after all necessary surgeries. The correlation between the HOPE-Score and the severity of hypospadias, on the one hand, and the outcome after surgery, on the other hand, were analyzed.

Results The HOPE-Score was assessed preoperatively for 79 boys, postoperatively for 66, and after all necessary surgeries for 21 patients. Mean HOPE-Score reached 30.2 ± 5.9 before surgery, 42.2 ± 6.1 after primary surgery, and 43.7 ± 3.4 after all necessary surgeries. A significant correlation between the HOPE-Score and the severity of hypospadias before surgery was observed. The boys with glanular hypospadias scored significantly higher (36.3 ± 5.4) than those with distal (29.6 ± 4.4) and proximal hypospadias (21.1 ± 3.5). Furthermore, a significant correlation between the HOPE-Score and the outcome after hypospadias repair was observed. Patients who needed no reintervention after primary hypospadias repair scored significantly higher postoperatively (45.1 ± 5.4) than those who needed a second (40.8 ± 4.2) or more than two surgeries (36.9 ± 7.4).

Conclusion The HOPE-Score is a good system to assess the severity of hypospadias and the cosmetic outcome after hypospadias repair.