LONG-TERM PATIENT REPORTED OUTCOME AND SATISFACTION AFTER ORAL MUCOSA GRAFT URETHROPLASTY FOR HYPOSPADIAS
| Autor: | Caleb P. Nelson, John M. Park, Robert Kinast, John T. Wei, David A. Bloom |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Urology Urethroplasty medicine.medical_treatment Surgical Flaps Postoperative Complications Patient satisfaction Urethra Recurrence Surveys and Questionnaires Body Image Humans Medicine Oral mucosa Child Retrospective Studies Hypospadias business.industry Genitourinary system Urination disorder Urination Disorders medicine.disease Surgery Urodynamics Treatment Outcome medicine.anatomical_structure Patient Satisfaction Child Preschool Tissue and Organ Harvesting Patient-reported outcome business Attitude to Health Follow-Up Studies Penis |
| Zdroj: | Journal of Urology. 174:1075-1078 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1097/01.ju.0000169421.27043.f2 |
| Popis: | There is a paucity of long-term patient reported outcome data on surgery for hypospadias. We sought to evaluate genitourinary function and satisfaction after oral mucosa graft urethroplasty (OMGU) for hypospadias.We identified 65 patients who had undergone OMGU at our institution between 1992 and 2003, and surveyed these patients to evaluate oral health, urinary function and satisfaction with outcomes.We located 51 patients who had undergone OMGU, of whom 43 (84%) agreed to participate in the study. Median followup was 6.9 years. Mean study age was 15.1 years. Of the patients 47% had severe hypospadias with failed previous repair and 42% had severe hypospadias with previous first stage surgery. Oral complaints were rare and primarily cosmetic. No patient whose oral harvest was limited to the cheek (vs lip) had cosmetic complaints. Urinary spray and stream deviation were reported by 11 patients (26%) and 12 patients (28%), respectively. American Urological Association symptom scores were generally low (mean 5.6 +/- 6.0, range 0 to 21) but 7 patients (16%) had moderate symptoms and 2 (5%) had severe symptoms. Of the patients 60% were mostly satisfied or better with urinary function. Although satisfaction with penile appearance varied (51% of patients were satisfied), most patients (84%) were satisfied with the overall hypospadias care. Urinary symptom scores were significantly worse among patients who had post-OMGU complications (p = 0.004). Of these patients 38% had moderate or severe urinary symptoms, while 95% of patients without complications had mild symptoms (p = 0.01).Many patients report good long-term outcomes of OMGU, although a subset of patients has significant urinary and cosmetic complaints that are more prevalent in association with surgical complications. |
| Databáze: | OpenAIRE |
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