It is hard to say after his death, in 1898, what remained of Tsutsumi Hōzan-ryū, and what had been influenced by judo. Conversely, it is hard to say if Tsutsumi had any influence on the creation of judo, as did other styles in those days. One of Tsutsumi Masao's students, Katsukuma or Katsuguma Higashi, came to the United States in the early 1900s and engaged in bouts with American wrestlers.
Tsutsumi Hōzan-ryū's legacy is unclear after his demise in 1898, with its influence on judo being uncertain. Similarly, it is unclear if Tsutsumi had an impact on the creation of judo, as other martial arts were prevalent during that era. One of Tsutsumi Masao's pupils, Katsukuma or Katsuguma Higashi, traveled to the United States in the early 1900s and engaged in bouts with American wrestlers.