{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:26:41Z","timestamp":1761744401872},"reference-count":58,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2016,9,26]],"date-time":"2016-09-26T00:00:00Z","timestamp":1474848000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>Hypospadias surgery is a humbling art form. The evolution of surgical techniques has made distal hypospadias outcomes favorable, but recent publications suggest that our complication rates for proximal hypospadias are much higher than previously reported. To explain these shortcomings, we examine the literature and focus on the lack of standardized documentation, the subsequent inability to objectify the severity of the phenotype, and the underestimation of complications due to lack of long-term follow up. The variability in surgical technique and the fact that the literature abounds with small case series from single institutions also limits our ability to compare outcomes. We believe that the use of standardized and scored phenotype assessments from diagnosis through the extended postoperative period will allow for improved scientific assessment of outcomes. This will facilitate multi-institution collaboration and tabulation of outcomes, allowing rapid data accumulation and assessment for this rare disorder. As surgeons, we must follow boys through puberty into adulthood and must honestly report our results in order to advance our surgical approach to this complicated problem.<\/ns4:p>","DOI":"10.12688\/f1000research.9230.1","type":"journal-article","created":{"date-parts":[[2016,9,26]],"date-time":"2016-09-26T11:30:56Z","timestamp":1474889456000},"page":"2379","update-policy":"http:\/\/dx.doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Proximal hypospadias: we aren\u2019t always keeping our promises"],"prefix":"10.12688","volume":"5","author":[{"given":"Christopher J.","family":"Long","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas A.","family":"Canning","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2016,9,26]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"196.e1-5","DOI":"10.1016\/j.jpurol.2016.05.002","article-title":"Hypospadias: Are we as good as we think when we correct proximal hypospadias?","volume":"12","author":"C Long","year":"2016","journal-title":"J Pediatr Urol."},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"28.e1-7","DOI":"10.1016\/j.jpurol.2015.06.011","article-title":"Proximal hypospadias: A persistent challenge. 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Should you?","author":"A Gawande","year":"2011"}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T11:31:55Z","timestamp":1553254315000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,26]]},"references-count":58,"URL":"https:\/\/doi.org\/10.12688\/f1000research.9230.1","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.9934.r16621","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.9934.r16620","asserted-by":"subject"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,26]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.9934.r16620, Luis H Braga, Division of Urology, McMaster Children's Hospital, McMaster University, Hamilton, ON, Canada, 26 Sep 2016, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1#referee-response-16620","order":0,"name":"referee-response-16620","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.9934.r16621, Armando Lorenzo, Department of Paediatric Urology, The Hospital for Sick Children, Toronto, ON, Canada, 26 Sep 2016, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/5-2379\/v1#referee-response-16621","order":1,"name":"referee-response-16621","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}