临床小儿外科杂志

目的初步分析小儿阴茎感知量表(pediatric penile perception score,PPPS)在评估尿道下裂术后阴茎外观中的应用价值。方法以2014年1月至2016年12月由同一泌尿外科医生行尿道板中央切开卷管尿道成形术(tubularized incised plate,TIP)的尿道下裂术后患儿为(实验组),随访中由患儿父母、非手术医生分别独立完成小儿阴茎感知评分量表(PPPS),并对不同受试者给出的PPPS得分进行对比分析。为验证该量表评估尿道下裂术后阴茎外观的结果是否客观,同时选取接受包皮环切术后患儿的照片作为本研究对照组,患儿父母在不知晓照片身份信息的情况下同样采用PPPS对照片中的阴茎外观进行评估。结果共纳入74例患儿,接受手术时年龄6～144个月,平均36个月,术后随访时间1～117个月,平均12个月。PPPS结果显示,泌尿外科医生、患儿父母对尿道下裂术后阴茎外观的满意评分分别为(2.83±0.28)分、(2.32±0.52)分,非手术医生对尿道下裂术后阴茎外观评分显著高于患儿父母(P<0.001)。结论 PPPS能客观地用于尿道下裂术后阴茎外观的评估,但医生与患儿父母间评估结果存在一定的差异。

Objective To evaluate the role of pediatric penile perception score(PPPS)in assessment of penile appearance after hypospadias operations. Methods From January 2014 to December 2016,a total of 74 boys underwent tubularized incised plate(TIP)urethroplasty by the same urologist.Their clinical data were collected and analyzed.All interviews were conducted by the same urologist.And the values of pediatric penile perception score were assessed. Results The mean age was 36(6-144)months.And the mean follow-up period was 12(1-117)months.The postoperative satisfaction PPPS scores of urologist,parental hypospadias repairing were(2.83±0.28),(2.32±0.52)points respectively.For hypospadias repairing,the urologist scores of penile appearance were markedly higher than those of parents(P<0.001). Conclusion PPPS is a reliable instrument for assessing the postoperative cosmetic outcomes after hypospadias repair.And urologist assessment is better than that of parents.

引言
1 材料与方法
2 结果
3 讨论

表1 非手术医生及患儿父母对尿道下裂术后外观的PPPS评分(x^-±s)<br/>Table 1 PPPS score after urinary surgeon and parental hypospadias(x^-±s)

表1 非手术医生及患儿父母对尿道下裂术后外观的PPPS评分(x^-±s)
Table 1 PPPS score after urinary surgeon and parental hypospadias(x^-±s)

2 Paulozzi LJ,Erickson JD,Jackson RJ.Hypospadias trends in two US surveillance systems[J].Pediatrics,1997,100(5):831 — 834.
3 Sun G,Tang D,Liang J,et al.Increasing prevalence of hypospadias associated with various perinatal risk factors in chinese newborns[J].Urology,2009,73(6):1241 — 1245.DOI:10.1016/j.urology.2008.12.081.
4 吴荣德,刘伟.关于尿道下裂手术后疗效评价标准的认识[J].临床小儿外科杂志,2016,15(5):420 — 422.DOI:10.3969/j.issn.1671 — 6353.2016.05.002.
5 Rynja SP,de Jong T,Bosch J,et al.Proximal hypospadias treated with a transverse preputial island tube:long-term functional,sexual,and cosmetic outcomes[J].BJU Int,2018,e1000.DOI:10.1111/bju.14234.
6 Thiry S,Saussez T,Dormeus S,et al.Long-Term Functional,Cosmetic and Sexual Outcomes of Hypospadias Correction Performed in Childhood[J].Urol Int,2015,95(2):137 — 41.DOI:10.1159/000430500.
7 Rynja SP,Wouters GA,Van Schaijk M,et al.Long-term followup of hypospadias:functional and cosmetic results[J].J Urol,2009,182(4 Suppl):1736 — 43.DOI:10.1016/j.juro.2009.03.073.
8 Weber DM,Schonbucher VB,Landolt MA,et al.The Pediatric Penile Perception Score:an instrument for patient self-assessment and surgeon evaluation after hypospadias repair[J].J Urol,2008,180(3):1080 — 1084.DOI:10.1016/j.juro.2008.05.060.
9 Ortqvist L,Fossum M,Andersson M,et al.Long-term followup of men born with hypospadias:urological and cosmetic results[J].J Urol,2015,193(3):975 — 981.DOI:10.1016/j.juro.2014.09.103.
10 Jiao C,Wu R,Xu X,et al.Long-term outcome of penile appearance and sexual function after hypospadias repairs:situation and relation[J].Int Urol Nephrol,2011,43(1):47 — 54.DOI:10.1007/s11255 — 010 — 9775 — y.
11 Weber DM,Landolt MA,Gobet R,et al.The Penile Perception Score:an instrument enabling evaluation by surgeons and patient self-assessment after hypospadias repair[J].J Urol,2013,189(1):189 — 193.DOI:10.1016/j.juro.2012.08.178.
12 Ververidis M,Dickson AP,Gough DC.An objective assessment of the results of hypospadias surgery[J].BJU Int,2005,96(1):135 — 139.DOI:10.1111/j.1464 — 410X.2005.05582.x.
13 Scarpa M,Castagnetti M,Musi L,et al.Is objective assessment of cosmetic results after distal hypospadias repair superior to subjective assessment?[J].J Pediatr Urol,2009,5(2):110 — 113.DOI:10.1016/j.jpurol.2008.10.004.
14 Chertin B,Natsheh A,Ben-Zion I,et al.Objective and subjective sexual outcomes in adult patients after hypospadias repair performed in childhood[J].J Urol,2013,190(4 Suppl):1556 — 1560.DOI:10.1016/j.juro.2012.12.104.
15 van der Toorn F,de Jong TP,de Gier RP,et al.Introducing the HOPE(Hypospadias Objective Penile Evaluation)-score:a validation study of an objective scoring system for evaluating cosmetic appearance in hypospadias patients[J].J Pediatr Urol,2013,9(6 Pt B):1006 — 1016.DOI:10.1016/j.jpurol.2013.01.015.
16 Rynja SP,de Jong TP,Bosch JL,et al.Functional,cosmetic and psychosexual results in adult men who underwent hypospadias correction in childhood[J].J Pediatr Urol,2011,7(5):504 — 515.DOI:10.1016/j.jpurol.2011.02.008.
17 李茂仙,杨越,杨屹,等.未成年患儿尿道下裂术后阴茎外观满意度和社会精神心理的随访研究[J].中华泌尿外科杂志,2016,37(11):841 — 845.DOI:10.3760/cma.j.issn.1000 — 6702.2016.11.013.
18 焦晨炜,吴荣德,于启海.尿道下裂术后阴茎外观及性功能的远期随访[J].中华小儿外科杂志,2009,(4):202 — 205.DOI:10.3760/cma.j.jssn.0253 — 3006.2009.04.003.
19 Ruppen-Greeff NK,Weber DM,Gobet R,et al.Health-related quality of life in men with corrected hypospadias:an explorative study[J].J Pediatr Urol,2013,9(5):551 — 558.DOI:10.1016/j.jpurol.2013.04.016.
20 Olofsson K,Oldbring J,Becker M,et al.Self-perception after hypospadias repair in young mens' perspective[J].European Journal of Plastic Surgery,2003,26(6):294 — 297.

备注

引言

1 材料与方法

2 结果

3 讨论

期刊信息

备注

引言

1 材料与方法

2 结 果

3 讨 论

期刊信息

2 结果

3 讨论