PEDIATRIC UROLOGY
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successful even in redo repairs. Few patients appeared to have long-term complications of significant curvature. The Koff procedure is one that should be in the toolbox of every urologist. Douglas A. Canning, MD 1. Koff SA: Mobilization of the urethra in the surgical treatment of hypospadias. J Urol 1981; 125: 394.
Re: Long-Term Follow-up of Children who Underwent Severe Hypospadias Repair Using an Online Survey with Validated Questionnaires S. A. Fraumann, H. A. Stephany, D. B. Clayton, J. C. Thomas, J. C. Pope, IV, M. C. Adams, J. W. Brock, III and S. T. Tanaka Division of Pediatric Urology, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee J Pediatr Urol 2014; 10: 446e450.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.01.017 available at http://jurology.com/ Editorial Comment: This is an honest long-term assessment of men following hypospadias repair from a group with considerable experience and excellent results. This report, which used validated online surveys of men who underwent severe proximal hypospadias repair, provides perspective on our reported success rates. Of 58 men who met inclusion criteria 19 were contacted. A total of 13 patients completed the survey, of whom 59% had suffered complications with an average of 2.2 procedures per patient. Despite these findings, most patients (85%) were satisfied with the penile appearance. Five of 13 patients reported residual penile curvature, of whom 4 had less than 30 degrees of curvature and 1 had more than 30 degrees of curvature. A total of 11 patients were satisfied with the penile appearance regardless of curvature. Using the American Urological Association Symptom Index, 10 men (77%) were pleased or delighted with the quality of life. Of the remaining 3 patients 1 was mostly satisfied, 1 was mixed and 1 was mostly dissatisfied regarding quality of life. Five patients (38%) were currently having regular sexual intercourse and were able to complete the International Index of Erectile Function. All 5 men were satisfied with the quality of erections, and 92% were satisfied with the hardness of the erections. No information is provided about the other 8 patients who were unable to complete the International Index of Erectile Function or SEER (Surveillance, Epidemiology and End Results Program) questionnaire. Studies such as this help us to evaluate our long-term success rates. Late followup is difficult but important. Douglas A. Canning, MD
Re: Digital Photographic Measurement in Hypospadias: Validation and Comparison to Intraoperative Measurement A. Akhavan, P. A. Merguerian, R. W. Grady, M. DiSandro and M. Shnorhavorian Department of Pediatric Urology, Seattle Children’s Hospital, Seattle, Washington, and Department of Urology, University of California San Francisco, San Francisco, California J Pediatr Urol 2014; 10: 312e316.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.01.018 available at http://jurology.com/ Editorial Comment: The authors propose a standardized method of photographing and assessing the hypospadiac penis preoperatively as a means of staging and planning surgical repair. Digital measurements using digital software referenced to a caliper in the operative field allowed multiple observers to determine variability. Intraobserver reliability was strong using this technique. Digitized photographic documentation is another step toward standardizing what sometimes seems to be surgical art as opposed to science. Douglas A. Canning, MD
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successful even in redo repairs. Few patients appeared to have long-term complications of significant curvature. The Koff procedure is one that should be in the toolbox of every urologist. Douglas A. Canning, MD 1. Koff SA: Mobilization of the urethra in the surgical treatment of hypospadias. J Urol 1981; 125: 394.
Re: Long-Term Follow-up of Children who Underwent Severe Hypospadias Repair Using an Online Survey with Validated Questionnaires S. A. Fraumann, H. A. Stephany, D. B. Clayton, J. C. Thomas, J. C. Pope, IV, M. C. Adams, J. W. Brock, III and S. T. Tanaka Division of Pediatric Urology, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee J Pediatr Urol 2014; 10: 446e450.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.01.017 available at http://jurology.com/ Editorial Comment: This is an honest long-term assessment of men following hypospadias repair from a group with considerable experience and excellent results. This report, which used validated online surveys of men who underwent severe proximal hypospadias repair, provides perspective on our reported success rates. Of 58 men who met inclusion criteria 19 were contacted. A total of 13 patients completed the survey, of whom 59% had suffered complications with an average of 2.2 procedures per patient. Despite these findings, most patients (85%) were satisfied with the penile appearance. Five of 13 patients reported residual penile curvature, of whom 4 had less than 30 degrees of curvature and 1 had more than 30 degrees of curvature. A total of 11 patients were satisfied with the penile appearance regardless of curvature. Using the American Urological Association Symptom Index, 10 men (77%) were pleased or delighted with the quality of life. Of the remaining 3 patients 1 was mostly satisfied, 1 was mixed and 1 was mostly dissatisfied regarding quality of life. Five patients (38%) were currently having regular sexual intercourse and were able to complete the International Index of Erectile Function. All 5 men were satisfied with the quality of erections, and 92% were satisfied with the hardness of the erections. No information is provided about the other 8 patients who were unable to complete the International Index of Erectile Function or SEER (Surveillance, Epidemiology and End Results Program) questionnaire. Studies such as this help us to evaluate our long-term success rates. Late followup is difficult but important. Douglas A. Canning, MD
Re: Digital Photographic Measurement in Hypospadias: Validation and Comparison to Intraoperative Measurement A. Akhavan, P. A. Merguerian, R. W. Grady, M. DiSandro and M. Shnorhavorian Department of Pediatric Urology, Seattle Children’s Hospital, Seattle, Washington, and Department of Urology, University of California San Francisco, San Francisco, California J Pediatr Urol 2014; 10: 312e316.
Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.01.018 available at http://jurology.com/ Editorial Comment: The authors propose a standardized method of photographing and assessing the hypospadiac penis preoperatively as a means of staging and planning surgical repair. Digital measurements using digital software referenced to a caliper in the operative field allowed multiple observers to determine variability. Intraobserver reliability was strong using this technique. Digitized photographic documentation is another step toward standardizing what sometimes seems to be surgical art as opposed to science. Douglas A. Canning, MD
