PURPOSE Transition in urology is defined by the process that allows an adolescent or a young adult with a congenital or acquired urogenital anomaly to assume increasing responsibility for their own health care and to become the primary decision maker in their care. METHODS A review of the literature regarding transitional care for lifelong urologic congenital anomalies was performed with the aim of reporting expert opinion when data are non-existent. This review focuses on special considerations for adolescents and young adults with spina bifida, bladder exstrophy, anorectal malformations and differences of sexual development. RESULTS Urologic goals during the transition from childhood to adulthood continue to include attention to the preservation of renal function and optimization of lower urinary tract function. Additional concerns include care to decrease long-term surgical complications (especially after augmentation cystoplasty), to monitor for malignancy, to prepare for sex activity and fertility, and to help the adult patient in decision making. Transition aims to maximize quality of life and independence by ensuring uninterrupted appropriate care through a multidisciplinary approach which varies by geographical location and healthcare setting. Barriers include patient and family factors as well as provider and system related factors. A dedicated team is an important element of successful transition.

中文翻译：

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先天性终生泌尿外科过渡的基础知识。

目的 泌尿外科的转变是通过允许患有先天性或后天性泌尿生殖系统异常的青少年或年轻人承担越来越多的自身医疗保健责任并成为其医疗保健的主要决策者的过程来定义的。方法 对关于终生泌尿系统先天性异常过渡性护理的文献进行了回顾，目的是在数据不存在时报告专家意见。本综述重点关注对患有脊柱裂、膀胱外翻、肛门直肠畸形和性发育差异的青少年和青年的特殊考虑。结果 从儿童期到成年期的泌尿外科目标继续包括关注肾功能的保护和下尿路功能的优化。其他问题包括注意减少长期手术并发症（特别是在增大膀胱成形术之后）、监测恶性肿瘤、为性活动和生育能力做好准备，以及帮助成年患者做出决策。Transition 旨在通过因地理位置和医疗保健环境而异的多学科方法确保不间断的适当护理，从而最大限度地提高生活质量和独立性。障碍包括患者和家庭因素以及提供者和系统相关因素。一个敬业的团队是成功过渡的重要因素。Transition 旨在通过因地理位置和医疗保健环境而异的多学科方法确保不间断的适当护理，从而最大限度地提高生活质量和独立性。障碍包括患者和家庭因素以及提供者和系统相关因素。一个敬业的团队是成功过渡的重要因素。Transition 旨在通过因地理位置和医疗保健环境而异的多学科方法确保不间断的适当护理，从而最大限度地提高生活质量和独立性。障碍包括患者和家庭因素以及提供者和系统相关因素。一个敬业的团队是成功过渡的重要因素。