Voiding Dysfunction in Transitional Urology Patients: Common Issues and Management Strategies

Purpose of Review To provide an overview of the literature pertaining to voiding dysfunction in the transitional urology patient population. Specific note is made of Spina Bifida, Posterior Urethral Valves, Prune Belly Syndrome, and Bladder Exstrophy, as well as acquired conditions such as spinal cord injury and sequelae of childhood malignancy treatment. Recent Findings There are some recently published trials that have attempted to rationalise the assessment and management of this population of patients. These range from longitudinal studies to some randomised control trials, and some remain opinion-based articles or local experience publications. Summary This is a heterogenous group of patients who have a wide variety of pathology and requirements that will constantly change over time. Awareness of the variability and the need for close monitoring underpins all management strategies. There is a clear requirement for an interdisciplinary approach here to support excellent treatment adherence and management of complications.