Uroflowmetry As a Long-Term Urological Outcome Assessment of Proximal Hypospadias Cases Repaired by Mansoura Modification of The Koyanagi Technique

doi:10.21608/ejhm.2024.374403

Uroflowmetry As a Long-Term Urological Outcome Assessment of Proximal Hypospadias Cases Repaired by Mansoura Modification of The Koyanagi Technique

Document Type : Original Article

10.21608/ejhm.2024.374403

Abstract

Background: There are limited studies considering the long-term functional results following severe hypospadias reconstruction. The modification of Mansoura on the Koyanagi method has shown excellent cosmetic outcome along with reducing possibility of urethral stricture and urethrocutaneous fistulation.
Objective: This study examined whether uroflowmetry alone is sufficient for assessing the long-term functional urological outcome.
Patients and Methods: A review was conducted on 37 patients who underwent Mansoura modification of the Koyanagi technique between 2010 and 2015. Evaluations were carried out, on average of 8 years post-surgery using the "HOSE" questionnaire and uroflowmetry.
Results: The average flow rate was 18.92 ± 4.11 and the maximum flow rate was 26.55 ± 11.72, with a mean "HOSE" score of 15.2 out of a maximum of 16. A statistically significant correlation was noted between the total HOSE score and the maximum flow rate in uroflowmetry (r=0.745, P<0.001).
Conclusion: Uroflowmetry outcomes correlated with HOSE scores and reflected the long-term functional outcomes of proximal hypospadias repair.

Keywords