Comparison of outcomes of tubularized incised plate hypospadias repair and circumcision: a questionnaire-based survey of parents and surgeon

J Pediatr Urol. 2008 Aug;4(4):250-4. doi: 10.1016/j.jpurol.2007.12.007. Epub 2008 Mar 7.

Abstract

Aim: We administered a standardized questionnaire to parents and operating surgeon to determine their opinions regarding outcomes from tubularized incised plate (TIP) hypospadias repair.

Methods: Likert scale questionnaires were used to assess six outcomes: overall penile appearance, cosmesis of meatus and skin, penile size, straightness during erection, and voided stream. These were answered by consecutive parents of boys 6 weeks following TIP hypospadias repair, as well as by the surgeon. Controls were normal boys 6 weeks after elective circumcision, with their parents and the surgeon answering the same questionnaires.

Results: There were no significant differences in responses between parents of boys undergoing TIP repair for distal (n=50) to proximal (n=15) hypospadias compared to parents of normal boys undergoing elective circumcision (n=22). Surgeon impressions of cosmetic results were slightly, but significantly, more favorable than those of parents. Surgeon scores were higher for distal versus proximal hypospadias outcomes.

Conclusions: Our study provides objective evidence that parents consider TIP hypospadias repair to create a normally functioning and appearing penis. Parent and surgeon opinions of cosmetic outcomes were similar, although surgeon impressions were more favorable.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Attitude of Health Personnel
  • Child
  • Circumcision, Male / methods*
  • Data Collection
  • Humans
  • Hypospadias / surgery*
  • Male
  • Parents
  • Patient Satisfaction
  • Physicians
  • Postoperative Complications
  • Surveys and Questionnaires*
  • Urologic Surgical Procedures, Male / methods*