Long term prognosis of hypospadias following surgical reconstruction is generally very good, though dependent on the grade of hypospadias at birth. Modern surgical techniques can often permit normal urinary and sexual function and a give a natural appearance. The rate of satisfaction with penile appearance is comparable higher in those born with hypospadias. However, sexual experience and satisfaction is broadly similar to the rest of the population. Following surgical reconstruction, prevalence of long-term urinary symptoms is similar to control groups. Rates of dissatisfaction and reported symptoms were however more common with severe proximal hypospadias when compared with more distal hypospadias.