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Erschienen in: Current Urology Reports 3/2021

01.03.2021 | Female Urology (L Cox, Section Editor)

Management of the Transitional Urology Patient: the Role of the Adult Reconstructive Urologist

verfasst von: Kyle A. Scarberry, Ronak A. Gor, Robert C. Kovell

Erschienen in: Current Urology Reports | Ausgabe 3/2021

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Abstract

Purpose of Review

Patients with congenital urologic conditions present unique challenges as adults. Herein, we review the literature relevant to the adult reconstructive urologist confronted with complex surgical concerns affecting their patients with a history of hypospadias, spina bifida, and other syndromes affecting the genitourinary tract.

Recent Findings

Urethral stricture disease related to hypospadias is complex, but successful urethroplasty and penile curvature correction can be achieved with an anatomically minded approach. Multiple urinary diversion techniques can be considered in a patient-centered approach to bladder management in the adult spina bifida patient, but complications are common and revision surgeries are frequently required. Strong evidence is lacking for most surgical techniques in this population, but experiences reported by pediatric and adult urologists with genitourinary reconstruction training can help foster consensus in decision-making.

Summary

Urologists trained in genitourinary reconstruction may be uniquely positioned to care for the transitional urology patient as they enter adolescence and adulthood.
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Metadaten
Titel
Management of the Transitional Urology Patient: the Role of the Adult Reconstructive Urologist
verfasst von
Kyle A. Scarberry
Ronak A. Gor
Robert C. Kovell
Publikationsdatum
01.03.2021
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 3/2021
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-021-01035-z

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