This elegant descriptive paper retrospectively reviewed cases seen in a paediatric urology clinic with respect to age, diagnosis and presentations in a major Brazilian city. Of 521 patients, 404 were <12 years old, 103 were between 12-18 and 14 were >18 years old. Nearly 44% of adolescents and all the adults were patient with late sequelae of congenital causes. All adolescents with neuropathic bladders, posterior urethral valves, exstrophy complex, disorders of sexual differentiation and hypospadias were late follow-ups or patients showing sequelae of their primary diseases. Reasons for ‘remaining’ in the paediatric services were given as “they don’t give me attention as you do”, “You’ve known me since I was a child” and request by the paediatric urology team for follow-up information. Specific adolescent issues such as sexual maturation, contraception, drug usage were not always dealt with as best they could be in the specific paediatric setting. Both paediatric urologists and adult urologists can read this paper and reflect on the gaps in their particular service to this group of patients. In particular, paediatric urologists should look to improve their care of adolescent patients and transitional care, and adult urologists should ensure they have a broad understanding of congential problems, which will be taken into adulthood with clinical sequelae. 

Adolescents and adults in pediatric urology clinics.
Jesus L, Dekermacher S, Frota J, et al.
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Henrik Steinbrecher

Southampton University Hospital NHS Trust

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