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

  • Female Urology (L Cox, Section Editor)
  • Published:
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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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Authors and Affiliations

  1. Urology Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA

    Kyle A. Scarberry

  2. Department of Pediatric Urology, Rainbow Babies and Children’s Hospital, Cleveland, OH, USA

    Kyle A. Scarberry

  3. Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Kyle A. Scarberry

  4. Division of Urology, Cooper University Hospital, Camden, NJ, USA

    Ronak A. Gor

  5. Cooper Medical School of Rowan University, Camden, NJ, USA

    Ronak A. Gor

  6. Division of Urology, University of Pennsylvania Health System, West Philadelphia, PA, USA

    Robert C. Kovell

  7. Division of Urology, Children’s Hospitals of Philadelphia, West Philadelphia, PA, USA

    Robert C. Kovell

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  1. Kyle A. Scarberry
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  3. Robert C. Kovell
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Correspondence to Kyle A. Scarberry.

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Kyle Scarberry, Ronak Gor, and Robert Kovell are paid consultants for Boston Scientific.

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Scarberry, K.A., Gor, R.A. & Kovell, R.C. Management of the Transitional Urology Patient: the Role of the Adult Reconstructive Urologist. Curr Urol Rep 22, 15 (2021). https://doi.org/10.1007/s11934-021-01035-z

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