Holland et al reported the Hypospadias Objective Scoring Evaluation (HOSE) for evaluating a male with hypospadias. This can help to standardize the patient assessment before and after corrective surgery. The authors are from the Children's Hospital at Westmead and Royal Alexandra Hospital for Children in Australia.
Parameters:
(1) meatal location
(2) meatal shape
(3) type of urinary stream
(4) erection
(5) fistula
Parameter
Finding
Points
meatal location
distal glans
4
proximal glans
3
coronal
2
penile shaft
1
meatal shape
vertical slit
2
circular
1
type of urinary stream
single
2
spray
1
erection
normal
4
mild angulation (< 10°)
3
moderate angulation (10 to 45°)
2
severe angulation (> 45°)
1
fistula
none
4
single, subcoronal or more distal
3
single, proximal
2
multiple
1
complex
1
total HOSE =
= SUM(points for all 5 parameters)
Interpretation:
• minimum HOSE: 5
• maximum HOSE: 16
• The higher the HOSE the more normal the findings.
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