Continuity of care between pediatric and adult urologists

Kozyrev G.V., Gazimiev M.-S.A., Manasherova D.T., Gadzhieva Z.K.

1) Department of Pediatric Urology-Andrology, Patrice Lumumba Peoples’ Friendship University of Russia, Moscow, Russia; 2) Department of Urology and Andrology, Morozov Children’s City Clinical Hospital, Moscow Healthcare Department, Moscow, Russia; 3) Department of Pediatrics, Bashkir State Medical University, Ufa, Russia; 4) Department of Uroandrology, Russian Children’s Clinical Hospital - branch of N.I. Pirogov Russian National Research Medical University, Moscow, Russia; 5) Institute of Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 6) Moscow Urology Center, S.P. Botkin Hospital, Moscow, Russia; 7) National Medical Research Center for Urology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia

Introduction. Issues of continuity of care in the treatment of patients with urological diseases are becoming increasingly relevant as the specialty itself advances and high-technology treatment methods are introduced.
Aim. To draw the attention of pediatric and adult urologists to the problems of continuity of care and to the need for establishing a system for transferring patients from pediatric to adult urologists.
Materials and methods. Five male patients were treated at I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, on the basis of Morozov Children’s City Clinical Hospital and the Institute of Urology and Reproductive Health. Group I included 3 patients with penoscrotal hypospadias, and Group II included 2 patients with bladder exstrophy. All patients had undergone staged surgical treatment in childhood; however, due to the development of complications in adulthood, reconstructive plastic surgery was required.
Results. The early treatment outcomes in patients from both groups were assessed as good because no complications were observed. The long-term treatment outcomes in all patients were evaluated at 3 and 6 months, and at 1 and 3 years.
Conclusion. The growing recognition of the need for an uninterrupted continuum of care in the treatment of patients with urological diseases in childhood and adulthood highlights the importance of this work for healthcare systems and, above all, for patients. Reconstructive surgery in any person, and especially in a child, requires long-term follow-up, often throughout life.

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About the Authors

Corresponding author: G.V. Kozyrev – Ph.D., MD, Professor, Head of the Department of Pediatric Urology-Andrology, Faculty of Continuing Medical Education, Patrice Lumumba Peoples’ Friendship University of Russia; Pediatric Urologist-Andrologist, Department of Urology and Andrology, Morozov Children’s City Clinical Hospital, Moscow Healthcare Department; Professor, Department of Pediatrics, Bashkir State Medical University, Ufa, Russia; Pediatric Urologist-Andrologist, Department of Uroandrology, Russian Children’s Clinical Hospital - branch of N.I. Pirogov Russian National Research Medical University, Moscow, Russia; e-mail: kozgerman@mail.ru

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