Hypospadias is a frequent malformation. The definition of hypospadias is a ventral tissues hypoplasia, with an abnormal position of the urethral meatus, a chordee of the penis and an open foreskin. It can be associate with other genital malformation; in that case it can be classified in the wider field of the disorder of sex development (DSD). There is a lot of surgical technics for those malformations. In the pediatric surgical department, in Lyon, three technics are the most used because of their reliability and their good outcomes in short and mid term. This is essential for investigator to have a long term evaluation, with a physical exam and paraclinical exams, after the puberty, to assess the outcomes after the changes especially at the puberty.
Study Type
OBSERVATIONAL
Enrollment
10
Physical examination of the penis, ultrasonography of the bladder end the testis, Biological sample for endocrine assessment
Service de chirurgie uro-viscérale, thoracique et de transplantation de l'enfant Hôpital Femme Mère Enfant
Bron, France
Event Free Survival
Time with no complication after the last surgery for hypospadias
Time frame: Day 0
Penis size
Time frame: Day 0
Urinary symptoms
The investigator will do an interrogation of the patient about urinary symptoms, the response will be yes or no.
Time frame: Day 0
quality of the urinary flow: straight or not straight
Time frame: Day 0
occurrence of urinary infection
Time frame: Day 0
sexual activity
The investigator will do an interrogation of the patient about sexual activity, the response will be yes or no.
Time frame: Day 0
occurrence of ejaculation
Time frame: Day 0
occurrence of erection
Time frame: Day 0
Pre-voiding bladder volume
Time frame: Day 0
post-voiding bladder volume
Time frame: Day 0
Flow measurement
The investigator will use an urinary flowmeter; the investigator will collect data with a curve for each patient, with time in x-axis and ml/s in y-axis.
Time frame: Day 0
Testicular ultrasonography
The investigator will ask a testicular ultrasonography which will be performed by a radiologist, the following data will be collected: testicular volume, aspect of the testicular parenchyma.
Time frame: day 0
puberty clinical signs
The investigator will use the tanner's criteria during the physical examination. Stages of genital \[G\] and pubic hair \[Ph\] development in the male. G-1, Ph-1: pre-pubertal; G-2: the testis and scrotum enlarge, and the skin of the scrotum shows some reddening and change in the texture. Sparse growth of pigmented hair usually slightly curly, mainly at the base of the penis (Ph-2); G-3: Testis and scrotum enlarge further, the penis grows mainly in length but also in breadth. The hair is darker, coarser and curlier and spreads over the junction of the pubes (Ph-3); G-4: Scrotum, testis, and penis grow further with development of the glans, and further darkening of the scrotal skin. The hair spreads covering the pubes; G-5: adult stage with spreading of the hair to the medial surface of the thighs (Ph-5).
Time frame: Day 0
endocrine disorder
Time frame: Day 0
patient satisfaction
The investigator will do an interrogation of the patient about his personal satisfaction, the response will be yes or no.
Time frame: day 0
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.