The Hypospadias Objective Penile Evaluation (HOPE) score evaluates the cosmetic appearance for the penis following surgery to correct hypospadia. This is an objective score that reduces subjectivity. The authors are from multiple universities in The Netherlands, Belgium and the United States.
Patient selection: hypospadia
Parameters:
(1) position of meatus
(2) shape of meatus
(3) shape of the glans
(4) shape of the penile skin
(5) torsion of the penis
(6) curvature in the erect penis
|
Parameter |
Finding |
Points |
|
position of the meatus |
normal |
10 |
|
|
junction of glans and shaft |
8 |
|
|
distal shaft near glans |
5 |
|
|
midshaft |
3 |
|
|
near junction with scrotum |
1 |
|
shape of meatus |
normal |
10 |
|
|
slightly abnormal |
7 |
|
|
moderately abnormal |
4 |
|
|
severely abnormal |
1 |
|
shape of the glans |
normal |
10 |
|
|
slightly abnormal |
7 |
|
|
moderately abnormal |
4 |
|
|
severely abnormal |
1 |
|
shape of penile skin |
normal |
10 |
|
|
slightly abnormal |
7 |
|
|
moderately abnormal |
4 |
|
|
severely abnormal |
1 |
|
torsion of the penis (5.1) |
0 to 30° |
10 |
|
|
31 to 50° |
7 |
|
|
51 to 70° |
4 |
|
|
> 70° |
1 |
|
curvature in the erect penis (5.2) |
0 to 30° |
10 |
|
|
31 to 50° |
7 |
|
|
51 to 70° |
4 |
|
|
> 70° |
1 |
|
|
no erection |
NA |
where:
• If there is no erection the score is the average of the first 5 items.
HOPE score = mean value =
= SUM(points for all applicable items) / (number of applicable items
Interpretation:
• maximum score: 10 (normal appearing)
• minimum score: 1 (severely abnormal)
Specialty: Urology
