Evaluation of Surgical Outcomes in Different Hypospadias Types by HOSE Score

Abstract

Objective:We aimed to present outcomes of hypospadias surgery with the help of the Hypospadias objective scoring evaluation (HOSE) system and to demonstrate the reliability of the HOSE.Materials and Methods:Data of patients, who were operated for hypospadias in our clinic between January 2017 and March 2019, were retrospectively analyzed. The parameters included demographic data, location of the meatus preoperative, postoperative complications, follow-up period, recurrence and postoperative HOSE score.Results:A total of 46 patients were included in the study. The mean age of the patients was 8.5±5.4 years. Fifteen patients had distal hypospadias, 13- subcoronal, 9- penile , 6- proximal and 3 had glanular hypospadias. Tubularized incised plate urethroplasty was performed in 35 patients, Bracka 2- stage repair in 6 patients and meatal advancement and glanduloplasty in 3 and, the onlay flap technique was used in 2 patients. The mean postoperative HOSE score was 14.6±1.7. The lowest HOSE score was found in patients with proximal hypospadias and the highest HOSE score was in those with glanular hypospadias (12.6 versus 15.6) (p=0.26). When HOSE scores of the patients were evaluated by a different physician, the mean HOSE score was found to be 14.5±1.7. There was no significant intraobserver variation (Kappa score: 0.698), (p<0.0001).Conclusion:HOSE is an objective and reliable scoring system that can be used to evaluate the outcomes of hypospadias surgery.

Keywords

• hypospadias
• hose
• penile reconstruction