Department of Pediatric Urology, Faculty of Medicine, Jagiellonian University Medical College, Cracow, Poland.
Division of Pediatric Propedeutics and Rare Disorders, Department of Pediatrics, Wroclaw Medical University, Poland.
Adv Clin Exp Med. 2022 Feb;31(2):157-163. doi: 10.17219/acem/142758.
Transition into adulthood is a common issue in many disciplines. However, urology faces additional difficulties due to different models of care and training as well as a wide diversity of pathologies. The goal of this paper is to discuss various aspects of the transition of urological care. This review provides some examples of pathologies that might require special attention of specialists. Most patients with rare diseases must be closely followed up in the long term. However, high-volume conditions may also have a huge impact on the well-being and quality of life in adulthood. Children who are cured due to oncological conditions will probably need additional attention in adulthood. The urological care during childhood is provided by a pediatric urologist, a pediatric surgeon or a urologist, depending on the local regulations and the organization of care. All patients are subsequently referred to a general urologist. Nowadays, a multidisciplinary approach is recommended in many cases, with a pediatric urologist as one of the team members. The patient, caregivers and healthcare professionals must be fully involved and focused on close cooperation to make the transition process smooth and successful.
成年过渡期是许多学科共同面临的问题。然而，由于不同的护理模式和培训方式以及广泛的病理学多样性，泌尿科还面临着额外的困难。本文的目的是讨论泌尿科护理过渡期的各个方面。本综述提供了一些可能需要专科医生特别关注的疾病示例。大多数患有罕见疾病的患者必须长期密切随访。然而，高容量的疾病也可能对成年期的健康和生活质量产生巨大影响。由于肿瘤疾病而治愈的儿童在成年后可能需要额外的关注。儿童期的泌尿科护理由小儿泌尿科医生、小儿外科医生或泌尿科医生提供，具体取决于当地规定和护理组织。所有患者随后都被转介给普通泌尿科医生。如今，在许多情况下推荐采用多学科方法，其中小儿泌尿科医生是团队成员之一。患者、护理人员和医疗保健专业人员必须充分参与并专注于密切合作，以使过渡过程顺利和成功。
