Children's Hospital Colorado
Pediatric Urology
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Pediatric Urology

Reoperation Rates for the Department of Pediatric Urology

What is a reoperation rate?

A reoperation rate is the percentage of patients who had a particular surgery at Children’s Hospital Colorado and needed an unanticipated second surgery with a minimum of a one-year follow-up. (Note: 95% of patients who need a second surgery will have one within a year.)

Why do we measure reoperation rates? 

The urology team is dedicated to improving patient outcomes. We measure the rate of reoperation to help us evaluate how we treat certain pediatric illnesses and to continually improve the quality of care for kids. By publishing and analyzing reoperation rates, we hope to identify situations where reoperation commonly happens and find solutions to reduce it.

Currently, Children’s Colorado is one of the few pediatric hospitals in the country that publishes the outcomes of these surgeries to help parents make educated decisions about their child’s healthcare.

How have we improved our reoperation rates?

We are continually striving to improve our outcomes by reviewing our techniques and following national and international best practices.

Children’s Colorado reoperation rate for hypospadias surgery

What is hypospadias?

Hypospadias is a condition in which the urethral tube (opening) is not at the tip of the penis. Instead, it is located underneath it. The surgical repair of hypospadias creates an opening in the correct place. Read about how we treat hypospadias.

 Graph shows reoperation rates for pediatric hypospadias surgeries done at Children's Colorado from 2012 to 2016. The reoperation rate was 10.9% in 2012, 11% in 2013, 2.25% in 2014, 6% in 2015 and 5% in 2016. The average international reoperation rate was 11.5%.

 Number of patients who had hypospadias surgery in 2016 (equal to 95) and the percentage who needed a reoperation (5%)

In 2016, of our 95 patients who had a hypospadias repair, only five patients needed a reoperation. This means that in 2016 only 5% of patients who had surgical repair of hypospadias at Children’s Colorado needed another operation. This is comparable with recently published data by Warren T. Snodgrass, which states an overall complication rate of 11.5%.  

Children’s Colorado reoperation rate for orchiopexy surgery

What is orchiopexy?

Orchiopexy is the surgical repair of an undescended testicle. Learn more about how we treat undescended testicles at Children’s Colorado.

Graph shows reoperation rates for pediatric orchiopexy surgeries done at Children's Colorado from 2012 to 2016. The reoperation rate was .6% in 2012, 1% in 2013, 0% in 2014, .3% in 2015 and 1% in 2016. The average international reoperation rate was 5%.

Number of patients who had orchiopexy surgery in 2016 (equal to 228) and the percentage who needed a reoperation (1%)

In 2016, two of the 228 patients who had an orchiopexy needed a reoperation. This means that 1% of patients at Children's Colorado who had surgical repair of an undescended testicle needed another operation. In comparison, the complication rate in recently published data by Hutton et al. is 5%, which is higher than that at Children’s Colorado.

Children’s Colorado reoperation rate for hernia surgery

What is a hernia?

A hernia is a bump in the groin area that is made up of fluid intestine and occasionally fat. See how we treat hernias.

Graph shows reoperation rates for pediatric hernia surgeries done at Children's Colorado from 2012 to 2016. The reoperation rate was 2.6% in 2012, 1.2% in 2013, .88% in 2014, .5% in 2015 and 1% in 2016. The average international reoperation rate was 5%.

Number of patients who had hernia surgery in 2016 (equal to 96) and the percentage who needed a reoperation (1%)

In 2016, of the 96 patients who had a hernia repair at Children’s Colorado, only one patient needed a reoperation (1% of all patients). This rate is similar to previous reoperation rates in 2014 and 2015 at our hospital. In comparison, the complication rate in recently published data by Henrik Steinbrecher is 5%, which is higher than that at Children’s Colorado.

About this data

What is the source of this data?

The data is collected by the Department of Pediatric Urology at Children’s Colorado.

How do we compare ourselves to other hospitals?

To gather this data, Children’s Colorado used benchmarks in the book “Pediatric Urology Surgical Complications and Management,” 2015, published by Wiley Blackwell (specifically, we referred to chapters by Warren T. Snodgrass, Kim Hutton and Henrik Steinbrecher). This book compares the complication rates of urologic procedures from hospitals across the U.S. and Europe.

How often will this data be updated?

The Department of Pediatric Urology tracks each patient’s success for an entire year and will continue to update this information.

Here, it’s different.™

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