Journal of AdvancedMedical and Dental Sciences Research

Background: Multiple techniques are available for the repair of hypospadias, and the success of urethroplasty is influenced by factors related to both the patient and the surgeon. Currently, there is no universally recognized scoring system for evaluating the severity of hypospadias. The objective of this study was to categorize the severity of hypospadias using the GMS score and investigate its correlation with post-operative complications. Methods: In this prospective study, a total of 200 male patients with distal to mid-shaft hypospadias were consecutively chosen for urethroplasty. Individual assessments were made before the reconstructive surgery, including the evaluation of glans size and groove, urethral plate width, meatus location, and the severity of chordee. Following the surgical procedure and during follow-up visits, any transient or persistent complications that arose were meticulously documented. Results: In this study, three distinct groups of patients were evaluated based on their GMS scores. Group A had a relatively lower mean GMS score of 4.68, with a modest incidence of complications. UC fistula was observed in a small fraction of patients, and issues such as meatal stenosis and glans dehiscence were notably absent. However, a subset of patients in this group did experience stricture urethra.In Group B, the mean GMS score was higher at 8.29, and the incidence of complications, particularly UC fistula and meatal stenosis, increased substantially. Some patients in this group also encountered glans dehiscence, while a significant proportion experienced stricture urethra.Group C, characterized by the highest mean GMS score of 10.63, demonstrated the most severe cases. UC fistula was highly prevalent, meatal stenosis was not observed, and glans dehiscence was absent. However, a substantial majority of patients in this group faced the challenge of stricture urethra. Conclusion: The Glans-Urethral Meatus-Shaft (GMS) classification system offers a standardized approach to assess the severity of hypospadias, enhancing the consistency and comparability of reconstructive outcome reports across different studies. Notably, a robust correlation exists between the total GMS score and the risk of post-operative complications.