Hypospadias: a 30-year personal journey

Hypospadias represents a spectrum. As such, every child with hypospadias requires a dedicated surgeon who exercises appropriate judgment, and has the experience to correct each variant surgically. Over the past 3 decades, the approach to the boy with hypospadias has evolved due to the employment of newer surgical techniques, in association with an increased understanding of the embryology and anatomy of the penis, embracement of psychological advances, and with the increased safety of anesthesia. Many questions remain unanswered, and thus, surgeons must be amenable to change, as advances continue. Only by properly questioning the long-term results of past and current techniques, will we be able to truly assess the products of our toils.