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Lifelong Urologic Care

The age-bookend overlays the reconstructive and functional urologist will increasingly own — transitional urology for the adolescent / young-adult moving from pediatric to adult care, and geriatric urology for the older adult whose anatomy, pharmacology, and treatment goals have shifted. Both are framed around the long-arc patient: bladder dynamics that change with growth and aging, surveillance obligations that span decades, and the multidisciplinary scaffolding required when a single specialist cannot deliver lifelong care alone.

  • Transitional UrologyAdult care of patients with congenital or acquired GU conditions requiring lifelong management — spina bifida / neurogenic bladder, posterior urethral valves, bladder exstrophy-epispadias complex, DSD, complex hypospadias, prune belly, CAKUT. Transition vs. transfer, readiness assessment (TRAQ, Good2Go), augmentation surveillance, and condition-specific adult workups.
  • Geriatric UrologyFrailty screening (TUG, CFS-9, Mini-Cog), ASPIRe trial outcomes, anticholinergic-burden / dementia risk, β3-agonist preference, prehabilitation and ERAS, colpocleisis-vs-reconstruction selection in elderly POP, GSM and recurrent UTI in older women, and FI management.