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S12-8
(PP)
VOIDING PATTERN OF ADULT PATIENTS WITH HYPOSPADIAS REPAIRED IN
CHILDHOOD.
Jawdat JABER, Stanislav KOCHEROV, Amicur FARKAS and Boris CHERTIN
Shaare Zedek Medical Center, Department of Pediatric Urology, Jerusalem, ISRAEL
PURPOSE
We aimed to evaluate the voiding pattern of adult patients who underwent hypospadias repair in childhood.
MATERIAL AND METHODS
Following IRB approval 102(22.7%) of 449 adult patients who underwent hypospadias repair between 1978 -1993
responded on the following questionnaires: International Prostate Symptom Score (I-PSS) and Short Form12
questionnaire (SF-12). Uroflowmetry (UF) was suggested to all patients. All patients were divided into three groups
according to the primary meatus localization. Group I of 63 (61.5%) patients with glanular, group II of 19 (18.4%) with
distal and group III of the remaining 21(20.4%) children with proximal hypospadias.
RESULTS
I-PSS score was 2.3+ 2.4 (mean + SD), UF was 21.1ml/s+ 4.3. The patients from the first and third group had less
urinary symptoms compared to those of second group 1.3+1.5, 5.5+2.4, 1.6+1.4 respectively(p<0.0001).
With regards to UF, the patients from the first and third group did better compared with those from the second group
22.1+ 4.1, 18.91+ 4.2, and 20.11 + 3.42 respectively (p=0.021). The UF was better in patients with normal vs
abnormal IPSS (p=0.0064). The physical component summary was 49.8±10.3, 51.1±3.6 and 46.4±0.3 in the first,
second and third group respectively. The mental summary component was 42.64±4.1, 42.2±2.4 and 39.89±2.9 in the
first, second and third group respectively.
CONCLUSIONS
Majority of adult patients who underwent hypospadias repair in childhood had normal voiding or mild voiding
disturbance with no affection to their physical or mental status.