Transitional Urology is designed to fill a critical gap that exists in
the published literature by comprehensively addressing the urological
challenges facing adolescents and adults with complex congenital
anomalies of the genitourinary system. It provides a valuable resource
to pediatricians and pediatric urologists facing urological management
issues beyond their expertise in their aging patients as well as
technical guidance to adult urologists who may have had little or no
experience caring for patients with a congenital condition. This work
will service as a field guide to congenitalism, providing a "how to"
approach to guide the urologist using real clinical examples for the
most common and challenging urological problems encountered. It also
provides a framework for the transition process from pediatric to
adult-centered care, with a special emphasis on the multidisciplinary
nature needed to provide patient-centered care. Specific conditions that
require special consideration, including myelomeningocele, exstrophy,
posterior urethral valves, and hypospadias are highlighted. Topics
considered common in the general urology practice- like infertility and
sexual dysfunction are addressed within the context of patients with
neurological or anatomical complexity. In addition, this text reviews
urological complaints for which basic clinical algorithms are
well-established within the context of a congenitally-abnormal bladder.
Chapters discuss how and when special testing like video urodynamnics
and positional fluoroscopy may be warranted to provide critical
diagnostic guidance. The text also review how typical age-related
urological phenomena, like elevated PSA, hypogonadism, and BPH, may
present in this subset of patients and how treatment of these conditions
may be different than the general population.
