Desafíos urológicos en la transición de pacientes pediátricos hacia la adultez

For the last decades, pediatric patients with complex congenital anomalies have increased their survival rate. Therefore it is imperative to have a national plan of transitional care to adult urology services. The development of this program has to consider that the professional who receive the patient must have a formal training on pediatric urology, understand the physical and emotional changes that this patients might suffer during adolescence and continue with a lifelong follow up. The main goals of the care for adolescent patients with complex urological problems are summarized by an adequate transition and specific care, including: preservation of renal function, preservation of bladder function (capacity, emptying, continence) and preservation of and adequate sexual and reproductive health to ensure an adequate quality of life. To address each of these objectives is huge, but necessary to improve the quality of life of these patients. However, all efforts will be vain if there are not associated with a public politic that faces the issues of adolescence, transition and referrals of the complex pediatric urological patients at a country level.