Journal of pediatric urology · 2026
Feasibility of the TAIPEI procedure for penile straightening in hypospadias: Insights from families.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ting Cynthia Sze-Ya, Ting Sze-Wen, Tseng Min-Hua, Tsai Li-Ping, Chee Siew-Yin, Chang Pei-Yeh
Аннотация
BACKGROUND: Persistent penile curvature remains a major challenge in proximal hypospadias repair. The TAIPEI (Taping In Between Penile Incisions) procedure is a novel postoperative rehabilitation strategy that maintains penile straightening through caregiver-applied taping between staged repairs. Despite promising surgical outcomes, the real-world feasibility of long-term home taping and family adherence has not been systematically evaluated.
OBJECTIVE: To assess the feasibility of the TAIPEI procedure based on caregiver-reported experience and to identify factors associated with perceived difficulty in performing taping.
STUDY DESIGN: A cross-sectional, anonymous online questionnaire was distributed to families of patients who underwent staged hypospadias repair at a single tertiary institution between 2020 and 2024. Eligible participants were caregivers who had performed penile taping for at least three months. The survey evaluated ease of taping, time requirement, retaping frequency, financial burden, child adaptation, and potential side effects.
RESULTS: A total of 95 caregivers completed the questionnaire (response rate: 95/129, 73.6%). Most respondents (90%) rated taping as easy or moderately easy to perform, and 55% reported adaptation within three months. On average, 59% maintained taping for over 14 h per day, and 80% re-applied tape fewer than five times daily, with each session lasting under 5 min. Perceived taping challenges were significantly associated with shorter daily taping duration, more frequent retaping, longer taping sessions, and difficulty with child cooperation. No significant associations were found between difficulty and tape consumption, cost, or skin irritation.
DISCUSSION: These findings indicate that with proper instruction and follow-up support, most families can successfully implement the TAIPEI procedure at home. While compliance and adaptation vary, key challenges are behavioral rather than procedural or financial. Limitations include potential response bias and the single-center design.
CONCLUSIONS: The TAIPEI procedure is a feasible and manageable family-centered postoperative rehabilitation strategy to correct penile curvature between staged repairs. Early caregiver education, clear demonstration of technique, and structured follow-up support appear critical for success.
CLINICAL/TRANSLATIONAL APPLICABILITY: This study provides the first quantitative assessment of caregiver experience with the TAIPEI procedure. The results support its use as a practical, low-cost, family-integrated rehabilitation method and may inform postoperative protocols and counseling in pediatric urology.
OBJECTIVE: To assess the feasibility of the TAIPEI procedure based on caregiver-reported experience and to identify factors associated with perceived difficulty in performing taping.
STUDY DESIGN: A cross-sectional, anonymous online questionnaire was distributed to families of patients who underwent staged hypospadias repair at a single tertiary institution between 2020 and 2024. Eligible participants were caregivers who had performed penile taping for at least three months. The survey evaluated ease of taping, time requirement, retaping frequency, financial burden, child adaptation, and potential side effects.
RESULTS: A total of 95 caregivers completed the questionnaire (response rate: 95/129, 73.6%). Most respondents (90%) rated taping as easy or moderately easy to perform, and 55% reported adaptation within three months. On average, 59% maintained taping for over 14 h per day, and 80% re-applied tape fewer than five times daily, with each session lasting under 5 min. Perceived taping challenges were significantly associated with shorter daily taping duration, more frequent retaping, longer taping sessions, and difficulty with child cooperation. No significant associations were found between difficulty and tape consumption, cost, or skin irritation.
DISCUSSION: These findings indicate that with proper instruction and follow-up support, most families can successfully implement the TAIPEI procedure at home. While compliance and adaptation vary, key challenges are behavioral rather than procedural or financial. Limitations include potential response bias and the single-center design.
CONCLUSIONS: The TAIPEI procedure is a feasible and manageable family-centered postoperative rehabilitation strategy to correct penile curvature between staged repairs. Early caregiver education, clear demonstration of technique, and structured follow-up support appear critical for success.
CLINICAL/TRANSLATIONAL APPLICABILITY: This study provides the first quantitative assessment of caregiver experience with the TAIPEI procedure. The results support its use as a practical, low-cost, family-integrated rehabilitation method and may inform postoperative protocols and counseling in pediatric urology.