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Transition and Lifelong Care in Congenital Urology (Hardcover, 2015 ed.)
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Transition and Lifelong Care in Congenital Urology (Hardcover, 2015 ed.)
Series: Current Clinical Urology
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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.
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