CORRELATION OF GLANS-URETHRAL MEATUS-SHAFT SCORING SYSTEM OF HYPOSPADIAS WITH POST-OPERATIVE COMPLICATIONS
Hypospadias is amongst one of the most common congenital urinary anomalies. The goal to repair the hypospadias includes reconstructing a functionally and visually normal phallus with meatus at the tip. Glans-Urethral Meatus-Shaft (GMS) hypospadias classification is used for the preoperatively scoring of the severity of hypospadias. GMS Score includes Glans (G), meatus (M), and penile shaft (S) and has high reliability amongst different observers. Each one of these three components is scored numerically as 1-4. These values are summed to calculate the total GMS score. The lowest value is 3 (mild/distal hypospadias) and the highest value is 12 (proximal hypospadias). Total 34 cases were enrolled in study. The mean level of glans score was 2.12±0.94, Urethral meatus was 2.21±0.97, and shaft score was found to be 1.79±0.729. The mean GSM score was found to be 6.12±2.07. Among the total children, 55.9% (19) had the mild grade of GSM score, 41.2% (14) had moderate and 2.9% (1) had the severe grade of GSM score. The surgeries performed were Tabularized incised plate (TIP) in 2.9% (1), TIP with dartos flap in 67.6% (23) and TIP with flap in 29.4% (10). Currently, no widely accepted pre-operative scoring system exists to predict the outcome of urethroplasty. In patients with GSM score of moderate to severe grade, a higher incidence of postoperative complications is found. This preoperative GMS classification may facilitate better clinical decision-making, surgical planning, and parental counseling. The current study aims to correlate the GMS score with the outcome of primary hypospadias repair.
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