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Transitional care in pediatric urology.

Sarah M Lambert1

  • 1Department of Urology, Columbia University, New York, New York; Division of Pediatric Urology, New York Presbyterian Hospital, Morgan Stanley Children's Hospital, New York, New York.

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|March 16, 2015
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Summary
This summary is machine-generated.

Transitioning pediatric urology care to adult urology requires careful planning. This process ensures lifelong health and specialized management for complex urological conditions in young adults.

Keywords:
Bladder exstrophyLong-term outcomesNeurogenic bladderPediatric genitourinary tumorsPosterior urethral valvesTransition of care

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Area of Science:

  • Urology
  • Pediatric Urology
  • Adolescent Medicine

Background:

  • Human development involves a natural transition from childhood to adulthood.
  • Advances in medicine have increased life expectancy for children with complex conditions.
  • Healthcare providers must facilitate the shift from pediatric to adult medical care.

Purpose of the Study:

  • To outline the universal process of transitioning pediatric urology care to adult urology.
  • To identify key objectives in pediatric urology care that require lifelong management.
  • To recognize obstacles hindering a smooth transition to adult urological services.

Main Methods:

  • Review of pediatric urology care objectives.
  • Identification of common complex urological conditions requiring long-term management.
  • Analysis of challenges in transitioning patients to adult care settings.

Main Results:

  • Key objectives include kidney preservation, safe urine storage/drainage, continence, fertility, sexual function, and genital appearance.
  • Many conditions like posterior urethral valves and neurogenic bladder necessitate lifelong care.
  • Obstacles include patient/caregiver mindset shifts, finding specialized adult urologists, and coordinating multidisciplinary care.

Conclusions:

  • Transitioning pediatric urology patients to adult care is a critical, individualized process.
  • Addressing obstacles is essential for successful long-term urological health management.
  • Lifelong care and specialized adult urology services are vital for patients with complex congenital conditions.