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Paediatric penile perception score (PPPS) in hypospadias repairde34
Syed Adeel Ahmed1, Syed Zafar Zaidi1
1Department of Urology, The Indus Hospital and Health Network, Karachi, Pakistan.
Insights
The Paediatric Penile Perception Score (PPPS) effectively measures parental satisfaction with hypospadias repair outcomes. High satisfaction was observed, indicating the PPPS is a valuable assessment tool for penile appearance post-surgery.
Area of Science:
- Pediatric Urology
- Surgical Outcomes Assessment
Background:
- Hypospadias repair is a common pediatric urological procedure.
- Assessing parental satisfaction is crucial for evaluating surgical success.
Purpose of the Study:
- To evaluate the Paediatric Penile Perception Score (PPPS) as a tool for assessing parental perception of hypospadias repair.
- To determine the utility of PPPS in measuring satisfaction with penile appearance post-surgery.
Main Methods:
- A cross-sectional study involving 60 pediatric patients undergoing hypospadias repair.
- Parents/guardians completed a standardized questionnaire (PPPS) assessing penile appearance (meatus, glans, skin, general appearance).
- Data analyzed for correlation with hypospadias type, interviewer relationship, and child's age.
Main Results:
- The median PPPS score was 17 (IQR: 16-18), indicating high parental satisfaction.
- No significant differences in PPPS scores were found based on hypospadias type, parental relationship, or child's age.
- The PPPS demonstrated high overall parental satisfaction with the results of hypospadias repair.
Conclusions:
- The Paediatric Penile Perception Score (PPPS) is a valuable and reliable tool for assessing parental perception of penile appearance after hypospadias repair.
- High parental satisfaction suggests favorable outcomes following surgical correction.
- PPPS can aid in evaluating the functional and aesthetic success of hypospadias surgery from a parental perspective.
Abstract:
The present cross-sectional study sought to evaluate the Paediatric Penile Perception Score (PPPS) as a tool to assess parental perception of hypospadias repair in children. In all, 60 patients were enrolled in the study with median age of 3.9 years; of these 24 (40%) had proximal hypospadias and 36 (60%) had distal hypospadias. After hypospadias repair, parents/guardians were interviewed about meatus, glans, skin, and general appearance using a standardised questionnaire to report penile appearance and penile perception. Overall, the median PPPS score was 17 (IQR: 16-18) with no significant difference in the penile perception score between the type of hypospadias, relationship of the person interviewed with the child (mother, father or other), nor the children's age. The study revealed that penile perception score (PPPS) is a valuable tool that can be used to assess parental penile perception regarding the child's penile appearance and noted overall high satisfaction after hypospadias repair.
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