Cosmetic versus Functional Success: Are We Measuring the Right Outcome?

A hypospadias repair may look successful in the postoperative photograph and still fail the patient later.This episode asks whether cosmetic success, anatomic success, urinary success, and patient success are the same outcome.We discuss HOSE, PPPS, urinary stream, meatal position, glans shape, uroflow, parent satisfaction, surgeon satisfaction, adolescent perception, body image, sexual confidence, and why short-term pediatric follow-up may miss the outcomes that matter most.This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.