Scarpa et al used a simple score to evaluate the cosmetic appearance of the penis following distal hypospadias repair. The authors are from S. Bortolo Hospital in Vicenza and the University of Padova in Padua, Italy.
Parameters:
(1) prepuce configuration
(2) shape of the glans
(3) shape of the meatus
(4) meatal position
(5) shaft appearance
|
Parameter |
Finding |
Points |
|
prepuce configuration |
completely open ventrally |
0 |
|
|
partially open ventrally |
1 |
|
|
normal -looking |
2 |
|
|
circumcised |
2 |
|
shape of the glans |
completely open ventrally |
0 |
|
|
partially open ventrally |
1 |
|
|
cylindrical |
1 |
|
|
normal-looking |
2 |
|
shape of the meatus |
fish mouth |
0 |
|
|
round |
1 |
|
|
slit-like |
2 |
|
position of the meatus |
coronal or more proximal |
0 |
|
|
glanular or not in the mid-line |
1 |
|
|
normal at the tip of the penis |
2 |
|
shaft appearance |
visible curvature, rotation and/or scarring |
0 |
|
|
mild scarring |
1 |
|
|
normal-looking and cylindrical |
2 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the more normal the appearance.
Performance:
• The authors found that a subjective assessment of appearance worked as well as the objective score.
Specialty: Urology
