Transition and Lifelong Care in Congenital Urology

1. Front Matter

   Pages i-x

   PDF

2. Overview

   1. Front Matter

      Pages 1-1

      PDF

   2. The Transition Process: Initial Assessment and Development of a Treatment Plan

      • Hadley M. Wood, Elizabeth B. Yerkes

      Pages 3-10

   3. Approach to the Myelodysplasia Patient

      • Rosalia Misseri

      Pages 11-26

   4. Approach to the Exstrophy Patient

      • Angela D. Gupta, John P. Gearhart

      Pages 27-33

   5. Approach to the Adult Hypospadias Patient

      • Gina M. Cambareri, Moneer K. Hanna

      Pages 35-42

3. Sexual Function, Fertility, Genital Function

   1. Front Matter

      Pages 43-43

      PDF

   2. Sexual Function and Pregnancy in the Female Myelodysplasia Patient

      • John C. Thomas, Amanda N. Squiers, Melissa R. Kaufman

      Pages 45-54

   3. Revision Genitoplasty, Sexual Function, Fertility, and Pelvic Organ Prolapse in Exstrophy and the Management of Pregnancy

      • Dan Wilby, Dan Wood

      Pages 55-64

   4. Issues in the Long-Term Management of Adolescents and Adults with DSD: Management of Gonads, Genital Reconstruction, and Late Presentation of the Undiagnosed DSD

      • Martin Koyle, Paul Bowlin

      Pages 65-75

   5. The Adult Hypospadias Patient: Technical Challenges in Adulthood

      • Moneer K. Hanna, Gina M. Cambareri

      Pages 77-96

4. Lower Tract

   1. Front Matter

      Pages 97-97

      PDF

   2. Urinary Tract Infections in the Reconstructed Bladder: Evaluation and Treatment Options

      • Vera Trofimenko, William O. Brant, James Hotaling, Jeremy B. Myers

      Pages 99-113

   3. Troubleshooting Continent Catheterizable Channels

      • Balaji Kalyanaraman, Sean P. Elliott

      Pages 115-121

   4. Augmentation Cystoplasty: Risks for Malignancy and Suggestions for Follow-Up Evaluations

      • Douglas A. Husmann

      Pages 123-130

   5. BPH and Pelvic Organ Prolapse in Patients with Neurogenic Bladder

      • Christopher Hartman, Farzeen Firoozi

      Pages 131-139

   6. Posterior Urethral Valves in Adolescents: Clinical Problems, Management, and Follow-Up

      • Dev Mohan Gulur, Andrew D. Baird

      Pages 141-145

5. Upper Tract

   1. Front Matter

      Pages 147-147

      PDF

   2. Renal Transplantation in Patients with Lower Urinary Tract Dysfunction

      • Christine Tran, John Rabets

      Pages 149-162

   3. Management of Calculi in Patients with Congenital Neuropathic Bladder

      • Robert D. Brown, Manoj Monga

      Pages 163-172

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 testinglike 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.​

• congenitalism
• exstrophy
• hypogonadism
• hypospadias
• myelomeningocele
• posterior urethral valves

“This volume … is a comprehensive guide to the care of patients with congenital urologic diseases. … helpful for pediatricians and general practitioners, as a multidisciplinary approach is typically needed for these complex patients. … This is a unique book in the field of urology about the care of the adult patient who has a congenital urological condition. Many urologists are uncomfortable caring for these patients given their complex histories, but this book provides extensive information on their treatment.” (Jennifer A. Hagerty, Doody's Book Reviews, July, 2015)

• Center for Genitourinary Reconstruction, Glickman Urological and Kidney Institute, Cleveland, USA

  Hadley M. Wood

• Adolescent and Reconstructive Urology, University College London Hospitals, London, United Kingdom

  Dan Wood

Hadley M. Wood, MD, FACS

Assistant Professor of Surgery

Center for Genitourinary Reconstruction

Glickman Urological and Kidney Institute

Cleveland, OH

Dan Wood, PhD FRCS Urol

University College London Hospitals

Adolescent and Reconstructive Urology

London, UK

Policies and ethics