Children's Hospital Colorado
Pediatric Urology
Pediatric Urology

Urologic Surgery Outcomes and Reoperation Rates

What is a reoperation rate?

A reoperation rate is the percentage of patients who had a particular urologic 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 urologic surgery outcomes and reoperation rates?

Our 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.This graph compares hypospadias surgery reoperation rates at Children's Hospital Colorado with international rates from 2012 to 2017.

73 Patients treated in 2017
5% Of patients needed a reoperation

In 2017, only four of our 73 patients who had a hypospadias repair needed a reoperation. This means that in 2017 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.This graph compares orchiopexy surgery reoperation rates at Children's Hospital Colorado with international rates from 2012 to 2017.

325 Patients treated in 2017
1% Of patients needed a reoperation

In 2017, three of the 325 patients who had an orchiopexy at Children’s Colorado 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 herniasThis graph compares hernia surgery reoperation rates at Children's Hospital Colorado with international rates from 2012 to 2017.

105 Patients treated in 2017
0 Patients needed a reoperation

In 2017, none of our 105 patients who had a hernia repair needed a reoperation. In comparison, the complication rate in recently published data by Henrik Steinbrecher is 5%.

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.™

A doctor talks to a man and woman who are facing her. The woman is holding a baby.

Why Can Treatment Options Vary?

Dr. Vemulakonda researches aspects of the patient-provider relationship and its impact on surgery decisions for infants with UPJ obstruction.

Variations in Care Research
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