Abstract
Background
Hypospadias is the most common congenital penile malformation, with ventral and proximal displacement of the urethral meatus. Relevant data on long-term outcomes and satisfaction following hypospadias reconstruction are scarce. The purpose of this study was to evaluate the 11-year surgical results and patient satisfaction ratings in a group of patients with hypospadias who underwent repair over a 6-year period.
Methods
Retrospective analysis was performed on 122 hypospadias patients operated on by a single surgeon at a single centre between August 2000 and December 2006. Information was collected through a review of patient notes, postal questionnaires and telephone contact with patients. Data collection included the patients' functional results, cosmetic outcomes and satisfaction ratings. Satisfaction was rated on a 1–10 scale and responses were collected over a 2-month period.
Results
A total of 122 patients underwent hypospadias repair. The average age was 38 months (range 1–360 months). Two stage procedures were done in 56 patients, with 66 patients undergoing single stage repair. There was a total of 22 complications reported in separate patients (18 %). Functional and cosmetic outcomes were generally good. Overall patient satisfaction was high (8.7/10).
Conclusions
This is one of the largest outcome and patient satisfaction studies following hypospadias repair. The results provide a reliable indicator of complication rates and long-term outcomes and satisfaction rates. Hypospadias repair is associated with high patient satisfaction. The chief complaint among hypospadias patients is of penile shape and inadequate size. Longer prospective follow-up would be beneficial.
Level of Evidence: Level IV, therapeutic study
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