Inlay urethroplasty in primary and reoperative hypospadias: evaluation of results with the help of the HOPE and HOSE-score objective scoring systems

Batrutdinov R.T.

Batrutdinov R.T., Morozova S.V., Aleksandrov S.V., Polyakov P.N., Zharova N.V.
Children’s Hospital N 2 of St. Mary Magdalene, Department of Pediatric Surgery and Urology (City Pediatric Uroandrological Center)

Objective: Introduce a HOPE- and HOSE-score (hypospadias objective penile evaluation) for graft tubularised incised plate urethroplasty (Inlay) for primary and reoperative hypospadias.

Materials and methods: The retrospective study included 40 patients with hypospadias operated on between 2010 and 2018. The primary hypospadias group (group 1) had 18 patients (45%) with an unsatisfactory urethral site and the reoperative hypospadias group (group 2) had 22 patients (55%). Patients' ages ranged from 8 months to 14 years (mean 16 months). Modified HOPE-score and HOSE-score scoring systems were used to evaluate treatment results.

Results: The follow-up period ranged from 2 months to 8 years (mean 18 months). Complications: In group N1:  urethral fistula in 2 cases out of 18 (11%). There were no other complications. In group N2: fistula urethra in 2 patients out of 22 (9%); stricture of urethra in 1 case (4.5%). All complications were successfully eliminated. The total percentage of complications was 11% in Group 1 and 13.5% in Group 2.

Conclusions: Urethroplasty Inlay is an effective method of correction in primary and reoperative hypospadias, which gives good cosmetic and functional results with a low level of complications. The use of the HOPE- and HOSE-score system makes it possible to validate more objectively the long-term and medium-term cosmetic and functional results of operations in primary and reoperative hypospadias.