Assessment of long term function following hypospadias reconstruction: do flow rates, flow quality and cosmesis improve with time? Results from the modified Bretteville technique

A. J. Robinson, L. E. Harry, J. H. Stevenson

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    Background: Very few studies on long term evaluation of functional outcome following hypospadias reconstruction are available. Results from the modified Bretteville method have shown excellent cosmesis with a low risk of fistula and stenosis. This study addresses the question; do flow rates, quality of urinary stream and cosmesis change over time? Methods: A sample of 18 patients who had undergone the 2 stage modified Bretteville technique between 1998 and 2004 were reviewed. Following a mean interval of 10 years and 5 months from initial functional assessment, repeat evaluation was performed using the "HOSE" questionnaire, flowmetry, and spray analysis. Results: Improvement in mean flow rate (15.3 vs 10.1 ml/s; p value = 0.0036), reduced spraying (3.2 g vs 4.4 g; p value = 0.2927), with a mean increase in the "HOSE" score (from 13.8 (maximum score 16) to 15.4 (maximum score 16); p value = 0.0440) was observed over the follow up time. Conclusion: Improvement in flow rates, flow quality, and cosmesis over a mean interval of 10 years 5 months has been demonstrated in a random cohort of patients undergoing the modified Bretteville method of hypospadias reconstruction.
    Original languageEnglish
    Pages (from-to)120-126
    Number of pages7
    JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
    Volume66
    Issue number1
    DOIs
    Publication statusPublished - Jan 2013

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