Predictors of transition readiness in adolescents with neurogenic lower urinary tract dysfunction.

Samer Maher; Abby Varghese; Lai Nam Tse; Kay Rivera; Dilshad Kassam-Lallani; Rodrigo Romao; Joana Dos Santos; Darius Bagli; Noreen Goraya; Jin Kyu Kim; Mandy Rickard; Armando J Lorenzo; Michael Chua

doi:10.1016/j.jpurol.2026.105828

PubMed · 41820115

Predictors of transition readiness in adolescents with neurogenic lower urinary tract dysfunction.

Samer Maher·Abby Varghese·Lai Nam Tse·Kay Rivera·Dilshad Kassam-Lallani·Rodrigo Romao·Joana Dos Santos·Darius Bagli·Noreen Goraya·Jin Kyu Kim·Mandy Rickard·Armando J Lorenzo·Michael Chua

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Abstract

PURPOSE: Adolescents with Neurogenic Lower Urinary Tract Dysfunction (NLUTD) face significant challenges in their quality of life and readiness to transition to adult healthcare services. This study examines the impact of various demographic and clinical factors on transition readiness. METHODS: We performed a retrospective review of prospectively collected data from 75 adolescents with NLUTD managed at a specialized tertiary referral pediatric facility. We employed multivariate linear regression analysis to explore the relationship between transition readiness scores collected from the Good2Go questionnaire, including the total transition readiness score and its sub-domains (self-advocacy, knowledge, self-care, and social support), and predictors such as age, sex, reconstructive surgery status, and clean intermittent catheter (CIC) usage. RESULTS: The mean age of participants was 16.74 years (SD 2.44). Reconstructive surgery had been performed in 32 % of patients, and 77.3 % were on CIC. Multivariate regression analysis indicated that age significantly predicted transition readiness across several domains. Each additional year of age was associated with a 4.40-point increase in the total transition readiness score, a 3.66-point increase in knowledge, a 4.26-point increase in self-advocacy and a 5.41-point increase in self-care. Conversely, CIC significantly negatively impacted the social support domain, with scores decreasing by 9.69 points. Reconstructive surgery was significantly associated with lower self-care scores, with an average decrease of 12.12 points among those who had undergone surgery. CONCLUSION: Age significantly improves transition readiness in adolescents with NLUTD, reflecting cognitive and developmental growth. However, the negative effects of CIC on social support and reconstructive surgery on self-care underscore the need for personalized interventions to optimize health outcomes during the transition to adult care.

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Humans Adolescent Female Male Retrospective Studies Urinary Bladder, Neurogenic Transition to Adult Care Surveys and Questionnaires Quality of Life Self Care Adolescent health Clean intermittent catheterization Neurogenic lower urinary tract dysfunction (NLUTD)Pediatric urology Reconstructive surgery Transition readiness Journal Article

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Samer Maher, Abby Varghese, Lai Nam Tse, Kay Rivera, Dilshad Kassam-Lallani, Rodrigo Romao, Joana Dos Santos, Darius Bagli, Noreen Goraya, Jin Kyu Kim, Mandy Rickard, Armando J Lorenzo, Michael Chua. 2026-02-20. Predictors of transition readiness in adolescents with neurogenic lower urinary tract dysfunction.. https://doi.org/10.1016/j.jpurol.2026.105828

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