Improving Parental Support in Hypospadias Care

The proposed study will enroll parent-child pairs and is designed to obtain new knowledge and improve hypospadias care. Parent-child pairs will be randomized into different groups over 36 months and participate for at least 6 months.

Inclusion Criteria A parent must meet all of the following criteria to be included: * Age ≥ 18 years old * Fluent and literate in English or Spanish * Parent or legal guardian * Ability to consent * One eligible parent per child * Plan to attend urology consultation * Has access to a smart phone, tablet, or computer with reliable internet access * Has the ability and agrees to receive unencrypted communications by text or email A child must meet all of the following criteria to be included: * 0-5 years old at the time of urology consultation * Have an upcoming urology consult with an enrolled pediatric urologist regarding hypospadias Exclusion Criteria If a parent meets any of the following criteria they will be excluded: * Previous participant in hypospadias study * Parent has another child with hypospadias or father of the child has a known history of hypospadias * Parent is unaware of any penile abnormality with child * A final hypospadias treatment decision has been made in discussion with a pediatric urologist * Investigator discretion If a child meets any of the following criteria they will be excluded: * Prior hypospadias surgery * Upcoming hypospadias urology consult is less than five days away from when the patient was identified