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August 15, 2026Current Treatment Options in PediatricsOpen Access

Transitional Urology: Barriers to Care

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Authors

VGVeerain K. GuptaBFBrendan T. Frainey

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Overview

Literature review reveals multilevel barriers to healthcare transition in adolescents with congenital genitourinary conditions, highlighting the need for structured multidisciplinary care models.

Key Points

  • Identify and synthesize patient-, provider-, and system-level barriers to healthcare transition in transitional urology and evaluate their impact on clinical outcomes.
  • Narrative review synthesizing recent literature on healthcare transition barriers and outcomes among adolescents with congenital genitourinary conditions entering adult-oriented care.
  • Identified interrelated transition barriers across patient factors (variable readiness, competing life priorities), provider constraints (insufficient adult provider expertise in congenital urology, communication gaps), and system deficits (lack of formal transition infrastructure).
  • Demonstrated that these barriers result in adverse clinical consequences, including patient loss to follow-up, accumulation of untreated urologic conditions, and increased reliance on acute emergency healthcare services.

Cite This Study

Gupta et al. (2026) studied this question.

synapsesocial.com/papers/6a801a1a75c2e31742c868edhttps://doi.org/10.1007/s40746-026-00385-5
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Attention and Executive Functions in Adolescents with Spina Bifida2007 · 110 citations
  2. 22023 updates to the spina bifida transition to adult care guidelines12023 · 15 citations