Bibliographic record
Abstract
Introduction and Objective:We report the functional outcome of asymptomatic, toilet-trained children following uncomplicated tubularized incised plate (TIP) repair of hypospadias. Materials and Methods:The records of patients who underwent a TIP repair of hypospadias at the Montréal Children's Hospital between April 1997 and September 2007 were reviewed.Patients were included if they were toilet trained, asymptomatic and had flow rate data done more than 1 year after TIP.Children with postoperative complications or those who required dilation were excluded.Variables predictive of outcome including the surgeon, the type of hypospadias, the presence of a hypoplastic urethra, reinforcement stitches, spongioplasty and the use of a stent were recorded.Uroflow data (peak flow, voided volume and postvoid residuals (PVRs) were analyzed and plotted on previously determined agevolume dependent nomograms.Results: Fifty-six patients were eligible for the study.Median age at surgery was 1.5 years.Hypospadias was distal penile in 49 (87%) and mid and proximal penile in 7 (13%).Mean follow up was 3 (standard deviation 1, 1-8) years.The uroflow curve was bell shaped in 14 (25%), interrupted in 8 (14%), slightly flattened in 28 (50%) and plateau in 6 (11%).Nomograms showed that 36 (64%) were in the 80th percentile, 11 (20%) were in 95th percentile range and 9 (16%) were plotted below 5th percentile.Postvoid residual was greater than 10% of bladder capacity in 23 (41%).Examining the curve shape, nomograms and PVR data against variables predictive of outcome, did not generate any statistical difference outputs.Conclusion: Although asymptomatic, the majority of children after TIP repair have flattened uroflow curve of whom 41% inefficiently empty their bladders and 16% have peak flow plotted below 5th percentile.The longterm outcome after puberty remains to be determined.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.012 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".