NEUROUROLOGY AND INCONTINENCE: Edited by John Heesakkers and Frank MartensTransition from childhood to adolescence: steps to be takende Kort, Laetitia M.O.Author Information Department of Urology, HP C04.236, University Medical Center Utrecht, Utrecht, The Netherlands Correspondence to Laetitia M.O. de Kort, PhD, MD, Department of Urology, HP C04.236, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. Tel: +31 88 7558079; e-mail: firstname.lastname@example.org Current Opinion in Urology: July 2020 - Volume 30 - Issue 4 - p 491-495 doi: 10.1097/MOU.0000000000000771 Buy Metrics Abstract Purpose of review The aim of this article is to give an overview of recent literature on transitional care of children with complex urological disease. Recent findings Most studies on transitional care concerned spina bifida patients. Assessment of current practices revealed that formalized clinics for transitional care may improve healthcare. However, there is still little consensus among healthcare providers on how to organize transitional care. A widely recognized problem is a lack of interested, dedicated, and well-trained staff for transitional care and lifelong follow-up of complex urological patients and also a lack of funding. The timing of the pediatric urologist's transfer to adult care may be helped by measuring transitional readiness in adolescent patients. Outcomes could also expose specific issues as were patients need assistance or education. Introduction of a transitional protocol made patients feel more ready for transition. However, even in established transitional clinics, there is a lack of disease-specific awareness of sexuality and fertility issues among patients. Summary Although there is growing awareness of the importance of well-organized and protocolled transitional care for young patients with complex urological disease, this is by no means sufficiently implemented. Furthermore, there is shortage of dedicated and experienced healthcare providers and a lack of funding. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.