Hypospadias complexity score (HCS): A new tool for predicting operating time and complications in hypospadias surgery

Bandini, Marco; Sekulovic, Sasha; Stanojevic, N.; Slavković, M.; Spiridonescu, B.; Dangi, Anuj Deep; Krishnappa, Pramod; Pesic, V.; Briganti, Alberto; Salonia, Andrea; Montorsi, Francesco; Djinovic, Rados

doi:10.1016/s1569-9056(19)30543-3

“…Based on the lack of data correlating hypospadias and pubic hypertrophy, we aimed to report the prevalence of pubic hypertrophy in our hypospadias cohort of patients and the associa-tion between pubic hypertrophy and the severity of hypospadias (i.e. location of the urethral meatus) (17). Furthermore, we schematically described all the steps of pubic lipectomy and finally, we evaluated the rates of fistula, as well as the rate of any complications in patients underwent pubic lipectomy.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: Results from a high-volume surgeon

Bandini¹,

Sekulovic²,

Stanojevic³

et al. 2019

European Urology Supplements

Self Cite

View full text Add to dashboard Cite

“…Based on the lack of data correlating hypospadias and pubic hypertrophy, we aimed to report the prevalence of pubic hypertrophy in our hypospadias cohort of patients and the association between pubic hypertrophy and the severity of hypospadias (i.e. location of the urethral meatus) ( 17 ). Furthermore, we schematically described all the steps of pubic lipectomy and finally, we evaluated the rates of fistula, as well as the rate of any complications in patients underwent pubic lipectomy.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: results from a high-volume surgeon

Bandini

¹

,

Sekulovic²,

Stanojevic³

et al. 2019

Int. braz j urol.

2

0

View full text Add to dashboard Cite

Introduction: Pubic hypertrophy, defi ned as an abnormal and abundant round mass of fatty tissue located over the pubic symphysis, is frequently underestimated in patients with hypospadias. We examined the prevalence of this condition, as well as the outcomes associated with its surgical treatment. Material and methods: Within 266 hypospadias patients treated at our clinic, we assessed the prevalence of pubic hypertrophy, and we schematically described the surgical steps of pubic lipectomy. Multivariable logistic regression (MLR) tested for predictors of pubic hypertrophy. Finally, separate MLRs tested for predictors of fi stula and any complications after pubic lipectomy. Results: Of 266 hypospadias patients, 100 (37.6%) presented pubic hypertrophy and underwent pubic lipectomy. Patients with pubic hypertrophy more frequently had proximal hypospadias (44 vs. 7.8%), disorders of sex development (DSD) (10 vs. 0.6%), cryptorchidism (12 vs. 2.4%), and moderate (30°-60°) or severe (>60°) penile curvature (33 vs. 4.2%). In MLR, the location of urethral meatus (proximal, Odds ratio [OR]: 10.1, p<0.001) was the only signifi cant predictor of pubic hypertrophy. Finally, pubic lipectomy was not associated with increased risk of fi stula (OR: 1.12, p=0.7) or any complications (OR: 1.37, 95% CI: 0.64-2.88, p=0.4) after multivariable adjustment. Conclusions: One out of three hypospadias patients, referred to our center, presented pubic hypertrophy and received pubic lipectomy. This rate was higher in patients with proximal hypospadias suggesting a correlation between pubic hypertrophy and severity of hypospadias. Noteworthy, pubic lipectomy was not associated with increased risk of fi stula or any complications.

show abstract

“…Based on the lack of data correlating hypospadias and pubic hypertrophy, we aimed to report the prevalence of pubic hypertrophy in our hypospadias cohort of patients and the associa-tion between pubic hypertrophy and the severity of hypospadias (i.e. location of the urethral meatus) (17). Furthermore, we schematically described all the steps of pubic lipectomy and finally, we evaluated the rates of fistula, as well as the rate of any complications in patients underwent pubic lipectomy.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: Results from a high-volume surgeon

Djinovic¹,

Sekulovic²,

Spiridonescu³

et al. 2019

European Urology Supplements

Self Cite

0

View full text Add to dashboard Cite

Introduction: Pubic hypertrophy, defi ned as an abnormal and abundant round mass of fatty tissue located over the pubic symphysis, is frequently underestimated in patients with hypospadias. We examined the prevalence of this condition, as well as the outcomes associated with its surgical treatment. Material and methods: Within 266 hypospadias patients treated at our clinic, we assessed the prevalence of pubic hypertrophy, and we schematically described the surgical steps of pubic lipectomy. Multivariable logistic regression (MLR) tested for predictors of pubic hypertrophy. Finally, separate MLRs tested for predictors of fi stula and any complications after pubic lipectomy. Results: Of 266 hypospadias patients, 100 (37.6%) presented pubic hypertrophy and underwent pubic lipectomy. Patients with pubic hypertrophy more frequently had proximal hypospadias (44 vs. 7.8%), disorders of sex development (DSD) (10 vs. 0.6%), cryptorchidism (12 vs. 2.4%), and moderate (30°-60°) or severe (>60°) penile curvature (33 vs. 4.2%). In MLR, the location of urethral meatus (proximal, Odds ratio [OR]: 10.1, p<0.001) was the only signifi cant predictor of pubic hypertrophy. Finally, pubic lipectomy was not associated with increased risk of fi stula (OR: 1.12, p=0.7) or any complications (OR: 1.37, 95% CI: 0.64-2.88, p=0.4) after multivariable adjustment. Conclusions: One out of three hypospadias patients, referred to our center, presented pubic hypertrophy and received pubic lipectomy. This rate was higher in patients with proximal hypospadias suggesting a correlation between pubic hypertrophy and severity of hypospadias. Noteworthy, pubic lipectomy was not associated with increased risk of fi stula or any complications.

show abstract

Hypospadias complexity score (HCS): A new tool for predicting operating time and complications in hypospadias surgery

Cited by 3 publications

References 0 publications

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: Results from a high-volume surgeon

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: Results from a high-volume surgeon

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: results from a high-volume surgeon

Prevalence and surgical management of pubic hypertrophy in hypospadias patients: Results from a high-volume surgeon

Contact Info

Product

Resources

About