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World Journal of Urology

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19.02.2020 | Topic Paper

The basics of transition in congenital lifelong urology

verfasst von: Matthieu Peycelon, Rosalia Misseri

Erschienen in: World Journal of Urology | Ausgabe 4/2021

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Abstract

Purpose

Transition in urology is defined by the process that allows an adolescent or a young adult with a congenital or acquired urogenital anomaly to assume increasing responsibility for their own health care and to become the primary decision maker in their care.

Methods

A review of the literature regarding transitional care for lifelong urologic congenital anomalies was performed with the aim of reporting expert opinion when data are non-existent. This review focuses on special considerations for adolescents and young adults with spina bifida, bladder exstrophy, anorectal malformations and differences of sexual development.

Results

Urologic goals during the transition from childhood to adulthood continue to include attention to the preservation of renal function and optimization of lower urinary tract function. Additional concerns include care to decrease long-term surgical complications (especially after augmentation cystoplasty), to monitor for malignancy, to prepare for sex activity and fertility, and to help the adult patient in decision making. Transition aims to maximize quality of life and independence by ensuring uninterrupted appropriate care through a multidisciplinary approach which varies by geographical location and healthcare setting. Barriers include patient and family factors as well as provider and system related factors. A dedicated team is an important element of successful transition.

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Titel: The basics of transition in congenital lifelong urology
verfasst von: Matthieu Peycelon
Rosalia Misseri
Publikationsdatum: 19.02.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 4/2021
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-020-03116-z

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The basics of transition in congenital lifelong urology

Abstract

Purpose

Methods

Results

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