Modified Pediatric Penile Perception Scale to Evaluate Cosmetic Outcome in Children With Hypospadias Repair

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dc.contributor.authorRatan, Simmi Ken_US
dc.contributor.authorKumar, Parveenen_US
dc.contributor.authorKishore, Jugalen_US
dc.contributor.authorAggarwal, Satish Kumaren_US
dc.date.accessioned2023-08-25T06:40:00Z
dc.date.available2023-08-25T06:40:00Z
dc.date.issued2023-08
dc.description.abstractObjectives: To compare the interpretation for cosmesis post-hypospadias repair by child, parents and surgeons using modified Pediatric Penile Perception Scale (PPPS). Methods: This cross-sectional study involving 50 children (aged 2 to 17 years) with hypospadias was conducted at the pediatric surgery department of our public sector tertiary care hospital. Subjects were assessed 6 months after completion of all stages of hypospadias repair. Cosmetic assessment was done using modified PPPS. We clubbed together the variables ‘meatus’ and ‘glans’ as MG (meatus-glans) complex due to their extreme proximity (embedding), while cosmesis of phallus was considered independently. The modified PPPS scoring parameters included phallus, MG complex, shaft skin, and general appearance. Independent assessment by surgeon, patients and parents was compared, and analyzed using SAS 9.2 statistical software. Cosmetic results of single vs staged repair, and different repair types was compared. Results: Assessment using modified PPPS showed that MG complex cosmesis and skin scarring were the most heeded parameters by all three categories of observers. PPPS by surgeons remained least affected by phallic cosmesis and that of the patient by the overall phallic appearance. Tubularized incised plate urethroplasty (TIPU) scored better on cosmesis. Conclusion: Phallic cosmesis should be considered an independent variable for assessing cosmetic outcome of hypospadias, apart from MG cosmesis.en_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Maulana Azad Medical College, New Delhien_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, New Delhien_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Vardhman Mahavir Medical College, New Delhien_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Ganga Ram Hospital, New Delhi.en_US
dc.identifier.citationRatan Simmi K, Kumar Parveen, Kishore Jugal, Aggarwal Satish Kumar. Modified Pediatric Penile Perception Scale to Evaluate Cosmetic Outcome in Children With Hypospadias Repair. Indian Pediatrics. 2023 Aug; 60(8): 655-658en_US
dc.identifier.issn0079-6061
dc.identifier.issn0974-7559
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/225453
dc.languageenen_US
dc.publisherIndian Academy of Pediatricsen_US
dc.relation.issuenumber8en_US
dc.relation.volume60en_US
dc.source.urihttps://indianpediatrics.net/aug2023/655.pdfen_US
dc.subjectLengthen_US
dc.subjectOutcomeen_US
dc.subjectManagementen_US
dc.subjectParentsen_US
dc.subjectSelf-assessment.en_US
dc.titleModified Pediatric Penile Perception Scale to Evaluate Cosmetic Outcome in Children With Hypospadias Repairen_US
dc.typeJournal Articleen_US
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