Transitional urology is a multi-faceted process designed to facilitate a patient who is able to accept full responsibility for medical decision-making and care, to move to an adult urological care team.
The majority of groups, such as the International Consultation on Urological Diseases, recommend beginning the process of transition at around the 12 years old (or earlier).
This is to provide ampletime for all parties involved to develop the skills and understanding required by age of 16 to 18 years old, depending on the jurisdiction, which in Ireland is 16 years old. The goal of transition is to provide uninterrupted, developmentally appropriate transfer of medical care to an adult – care model.
The main difference in models of care is that the paediatric model involves a large team from different disciplines, led by a single surgeon. The care approach is usually parent-focused with longer consultation times, good access to psychology and regular follow-up appointments. The adult model
is generally a smaller team with sub-specialty interests requiring more outside consultation.
The care approach is patient-focused, with shorter consultation times, less availability of psychology, and longer review intervals.
There is no specific transitional care program in urology in Ireland at present. Therefore, I would be very happy to see any patients of this nature in order to try to smooth this transition.