ESPU Congress 2018 - Abstract Book

95 11–14 APRIL, 2018, HELSINKI, FINLAND 16:08–16:11 S11-3 (PP) GMS SCORE AND PENILE MEASUREMENTS AS PREOPERATIVE ASSESSMENT TOOLS FOR HYPOSPADIAS SURGERY OUTCOME Ahmed ABBAS  1 , Mohamed ABD EL WAHAB  2 , Ahmed SHOUKRY  2 , Wasim ABU EL ELA  2 , Waleed GHONEIMA  2 , Ahmed SHOUMAN  2 , Mohamed EL GHONEIMY  2 , Hani MORSI  2 , Hesham BADAWI  2 and Mohamed EISAA  2 1) Police Hospital, Urology Department, Giza, EGYPT - 2) Abu El Rish Children Hospital Cairo University, Urology Department, Cairo, EGYPT PURPOSE An objective measure for reconstructive surgeries is the ultimate dream for every surgeon. Our aim was to assess the correlation between GMS score (Glans-Urethral Meatus-Shaft score), penile measurements and risk of postoperative complications. MATERIAL AND METHODS Prospective study included children with a mean age of 3.28±2.61years having coronal, distal or mid penile hypospadias. They underwent Tubularized incised plate (TIP) repair from 2015 to 2017 and were assessed preoperatively by measuring GMS score, penile length, glans width, peno- scrotal length, urethral plate length and urethral plate length/penile length. Follow up for 3 months. Step wise logistic regression model was used. RESULTS Mean age, GMS score, glans width, penile length, penoscrotal length, urethral plate length and urethral plate length/penile length ratio were 2.9±2.1 years, 6.8±1, 1.2±0.1 cm 3[AS1] .8±0.8 cm, 7.4±1.1 cm, 1.1±0.3 cm, 30.32±9.11 respectively, in complicated patients. There was a statistical significance difference between complicated and non-complicated patients regarding GMS score, glans width, penile length, penoscrotal length, and urethral plate length/ penile length ratio. Complication rate for patients with GMS score ≤ 6, glans width ≥ 14 mm, penoscrotal length ˃ 5 cm was 37.5 %, 12.5 %, 12.5 % respectively. Patients with a GMS score ˃ 6, glans width ˂ 14 mm and penoscrotal length ≤ than 5 cm was 62.5 %, 87.5 %, 87.5 % respectively. Step wise logistic regression model demonstrated that an in increase in GMS score by one value, patients probability of having a complication is 3 fold. CONCLUSIONS GMS score ˃ 6 is associated with a higher complication risk following TIP repair. Glans width ≥ 14 mm, penoscrotal length ≥ 5 cm have lower complication rate. Penile length and urethral plate / penile length ratio have a clinical utility and statistical significance in anticipating complication rate in distal penile hypospadias patients. 16:11–16:20 Discussion