Jonuzi Asmir, Zvizdić Zlatan, Milišić Emir, Kulovac Benjamin, Mešić Amira, Vranić Semir
Clinic of Paediatric Surgery, Clinical Centre University in Sarajevo, Sarajevo, Bosnia and Herzegovina.
Clinic of Urology, Clinical Centre University in Sarajevo, Sarajevo, Bosnia and Herzegovina.
Med Glas (Zenica). 2022 Aug 1;19(2). doi: 10.17392/1482-22.
Aim A standardized assessment for the optimal repair of hypospadias remains elusive. The aim of this study was to assess a postoperative cosmetic outcome of hypospadias repair using a validated questionnaire, Hypospadias Objective Scoring Evaluation (HOSE). Methods During the period between January 2016 and May 2019, 40 patients who underwent hypospadias repair were identified and they agreed to a follow-up using the HOSE. Distal hypospadias repairs underwent a cross-sectional assessment of the cosmetic outcome. Cosmetic assessment was performed by an independent physician using the HOSE scoring system. Results The native meatus was coronal in 10 (25%), subcoronal in eight (20%), and distal penile in 22 (55%) patients. Mean followup was 35.90 months (SD ±29.58) postoperatively (range 12-162 months). Complications occurred in one (2.5%) patient. Out of 40 uncomplicated repairs, 39 (97.5%) were satisfactory. A vertical slit-like meatus located at the distal glans was created in 33 (82.5%) boys, and at the proximal glans in seven (17.5%). The urinary stream was single and straight in 39 and spray in one patient. A straight erection was observed in 39 (97.5%) boys. The median HOSE score was 16 (range 12-16). One patient had a small, single coronal fistula. The technique used included tubularised incised plate urethroplasty. Conclusion The HOSE score is simple, easy, non-invasive and non-expensive tool for objective assessment of long-term outcomes of hypospadias repair.
目的 对于尿道下裂的最佳修复，尚未有标准化的评估方法。本研究的目的是使用经过验证的问卷——尿道下裂客观评分评估（HOSE），来评估尿道下裂修复术后的美容效果。方法 在2016年1月至2019年5月期间，确定了40例接受尿道下裂修复的患者，他们同意使用HOSE进行随访。对远端尿道下裂修复的美容效果进行横断面评估。由一名独立医生使用HOSE评分系统进行美容评估。结果 尿道口位于冠状沟的有10例（25%），位于冠状沟下的有8例（20%），位于阴茎远端的有22例（55%）。术后平均随访时间为35.90个月（标准差±29.58）（范围12 - 162个月）。1例（2.5%）患者出现并发症。在40例无并发症的修复中，39例（97.5%）效果满意。33例（82.5%）男孩的尿道口呈位于龟头远端的垂直裂隙状，7例（17.5%）位于龟头近端。39例患者尿流单一且笔直，1例呈喷射状。39例（97.5%）男孩勃起挺直。HOSE评分中位数为16（范围12 - 16）。1例患者有一个小的、单一的冠状沟瘘。所采用的技术包括管状切开板尿道成形术。结论 HOSE评分是一种简单、易行、无创且经济的工具，可用于客观评估尿道下裂修复的长期效果。
