Current challenges with proximal hypospadias: We have a long way to go.

BACKGROUND AND PURPOSE: Proximal hypospadias repair has continued to challenge the pediatric urologist despite great efforts to develop better techniques for repair.

METHODS: In this article, we review the literature regarding modern proximal hypospadias repair approaches and outcomes. We also present our current approach to proximal hypospadias repair surgery and outcome tracking. Finally, we review the literature on surgical outcome tools that may help us standardize research.

RESULTS: Proximal hypospadias repair has significant variability in technique. Overall modern data would suggest that we require great improvement in our surgical management of this challenging problem. Though tools exist to begin to standardize the reporting of hypospadias outcomes, collaborative efforts are still required for future research.

CONCLUSION: Future research in proximal hypospadias repair needs to utilize new reporting tools as well as engage in collaborative efforts between institutions.