Liu Zhaoquan,Wu Xuemin,Xu Yingrui,et al.Risk factors for pediatric penile perception scores after hypospadias repair[J].Journal of Clinical Pediatric Surgery,,22():544-548.[doi:10.3760/cma.j.cn101785-202211016-009]
Risk factors for pediatric penile perception scores after hypospadias repair
- Keywords:
- Hypospadias; Treatment Outcome; Physical Appearance; Body; Pediatric Penile Perception Score; Surveys and Questionnaires
- Abstract:
- Objective To evaluate the cosmetic outcomes of hypospadias repair with pediatric penile perception score (PPPS) by parents and children and explore the risks facfors for PPPS results.Methods A retrospective analysis was performed for hypospadiacs operated from January 2012 to December 2021.Parents and children aged over 10 years were surveyed by a questionnaire of PPPS.Surgical data of previous repair and postoperative follow-ups were recorded.Surgical data included surgical age, duration of follow-up, age at follow-up, preoperative meatal location, preoperative glan width, penile curvature before/after degloving, surgical procedure, dorsal plication, multiple operations, staged repair, postoperative glan width, postoperative distance between meatus and corona, postoperative penile length, postoperative complications and the presence of complications during follow-up.The postoperative PPPS results were analyzed.Results A total of 110 questionnaires from parents and 27 questionnaires from children were collected.High score group was defined by PPPS ≥ 12 points.The total PPPS score of 110 parents and 27 children was 13.07±3.2 and 13.15±3.99 points respectirely, and the score for penis length wasthe lowesf.Among the 27cases evaluated by both patients and parents, there was no statistical difference in scores(P=0.986).Based upon parental scores from 77 cases with defailed operative records, they were assigned into two groups of high score (n=64) and low score (n=13).In univariate analysis, preoperative glan width[14.25(13.00, 16.00) vs.13.50(12.25, 14.00) mm], postoperative glan width[13.00(11.13, 14.00) vs.11.50(10.50, 12.75) mm] and penile length[36.00(34.25, 40.00) vs.35.00(31.00, 35.00) mm], postoperative complications[45% vs.85%] and current complications[19% vs.69%] had significant inter-group differences.Multiple Logistic regression revealed that current complications (OR=5.401, 95%CI:1.170~24.927) were the independent risk factors of unsatisfactory cosmetics (P<0.05). Conclusion The overall PPPS scores of both parents and children are satisfactory and consistent after hypospadias repair.And the presence of complications during follow-up is an independent risk factor of parental PPPS results.
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Memo
收稿日期:2022-11-07。
通讯作者:刘伟,Email:lemontree1119@126.com