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History of Adolescent Care in Urology

  • Christopher WoodhouseEmail author
Chapter

Abstract

Until the second half of the twentieth century there was no need to have specialist adult care for patients born with the major congenital anomalies of the genito-urinary system as the number surviving beyond childhood was very small. As survival rates improved, the common practice was to extend care within the pediatric environment. By the end of the twentieth century it was recognized that long-term care outside a pediatric environment was required. The need is universal and increasingly recognized but the means by which it is achieved are varied and usually inadequate; there are very few units specializing in adolescent urology and even fewer with a system of transition from pediatrics to adult care.

For conditions that have no adult equivalent, which includes all of those in urology, the care has to be life-long. There is no point in transitioning from pediatrics to a purely adolescent unit and then having to move again to one dealing with adults. There is no satisfactory term for this sub-specialty and so ‘Adolescent Urology’ remains the moment.

At present, there is an understanding of the need and the facilities required; a recognition that there is inadequate provision; a group of urologists in many countries who are willing to take on the work; and reasonable criteria for measuring outcomes. It remains to formalize these assets to create systems of long-term care suitable for the diverse countries that require them.

Keywords

History Definition Name Longevity Transition clinic Outcomes Survival Congenital anomalies Work load Institute of Urology Occupations Adolescent urology Transitional care 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University College LondonLondonUK

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