Multidisciplinary Care for Adults with SB and Congenital Urologic Conditions: Needs, Design, Implementation & Challenges

Purpose of Review Transitional urology is an emerging subspecialty focused on the purposeful, patient-centered transition of young adults with congenital urologic conditions from pediatric to adult-centered care. This review examines the structure, implementation, and barriers of transitional urology clinics. Recent Findings Structured transitional care programs demonstrate significantly improved transfer rates and long-term follow-up compared to unstructured approaches, with one 9-year evaluation showing 96.2% successful transfer and 72.4% maintained active follow-up versus 36.8% without structured support. Multiple models of care exist, including direct pediatric-to-adult transfer, dual-appointment models, external staffing arrangements, and multidisciplinary approaches. Validated tools such as the TRAQ-SB, KKIS-SB, and AMIS-II-SR facilitate individualized readiness assessment. Despite these advances, barriers persist across patient, provider, and systems levels. Summary Formalized transitional urology clinics with multidisciplinary collaboration, dedicated clinic coordinators, and systematic readiness assessment are essential for optimizing outcomes in this vulnerable population. Future work is needed to compare models to optimize care delivery.