Patient Reported Outcomes in Preoperative and Postoperative Patients with Hypospadias

Area of Science:

• Urology
• Pediatric Surgery
• Patient-Reported Outcomes

Background:

• Current hypospadias outcome tools lack patient and caregiver perspectives.
• Patient-centered outcomes are crucial for evaluating hypospadias treatment effectiveness.

Purpose of the Study:

• To develop and pilot a patient-reported outcome measure (PROM) for hypospadias.
• To incorporate patient, caregiver, and expert input into a comprehensive outcome assessment.

Main Methods:

• Systematic literature review and focus groups informed PROM development.
• The PROM was piloted in 347 patients/caregivers (uncorrected, successful repair, failed repair).
• Patients were classified based on complications like fistula, stricture, or curvature.

Main Results:

• Successful hypospadias repair yielded highest satisfaction with appearance (93%) and lowest voiding dissatisfaction (15%).
• Uncorrected and failed hypospadias cases reported higher rates of voiding symptoms (39%, 37%) and dissatisfaction (54%, 47%).
• The PROM demonstrated feasibility in clinical practice.

Conclusions:

• Evaluating patient/caregiver outcomes quantifies hypospadias repair benefits.
• This PROM may become the gold standard for hypospadias outcome assessment.
• The study identified key patient-centered themes and confirmed PROM feasibility.