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Advances and Challenges in Transitional Urology: Caring for Adolescents and Young Adults with Lifelong Complex

Alexander J Skokan1, Robert Caleb Kovell2,3

  • 1Division of Urology, University of Pennsylvania Health System, 3400 Civic Center Blvd, 3rd Floor - West Pavilion, Philadelphia, PA, 19104, USA.

Current Urology Reports
|March 9, 2018
PubMed

Insights

Adults with congenital genitourinary conditions require specialized transitional urology care. This review highlights the growing need for evidence-based practices to manage lifelong health issues in these patients.

Area of Science:

  • Urology
  • Pediatric Medicine
  • Adult Congenital Disease Management

Background:

  • Improved survival rates for complex congenital and pediatric diseases lead to a growing adult population with these conditions.
  • Adults with congenital genitourinary conditions often experience lifelong issues such as urinary incontinence, recurrent infections, chronic kidney disease, and sexual dysfunction.

Purpose of the Study:

  • To review the evolving field of transitional urology.
  • To evaluate the implementation of transitional care practices in urology, using spina bifida as a model.
  • To emphasize the need for evidence-based practices in managing adult patients with congenital genitourinary conditions.

Main Methods:

  • Literature review focusing on transitional care in medicine.
  • Specific evaluation of spina bifida as a model for transitional urology practices.
  • Analysis of current trends and needs in transitional urology.

Main Results:

  • Transitional urology is a growing specialty, with increasing attention nationwide and internationally.
  • Spina bifida serves as a valuable model for developing and implementing transitional care protocols in urology.
  • Coordinated transition to adult healthcare settings is crucial for managing long-term urological issues.

Conclusions:

  • Developing evidence-based practices for transitional urology is essential.
  • Effective transition of care ensures better management of lifelong urological conditions in adults.
  • Continued growth and focus on transitional urology will improve outcomes for patients with congenital genitourinary diseases.
Abstract

Keywords:
Adolescent urologyHealth care transitionsMyelomeningoceleSpina bifidaTransitional urologyUrologic congenitalism

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