Journal of pediatric urology
February 20, 2026 · via Europe PMC
Predictors of transition readiness in adolescents with neurogenic lower urinary tract dysfunction.
Maher S, Varghese A, Tse LN, +9 more, Chua M.
AI summary — for doctors, generated from the abstract only
In adolescents with neurogenic bladder, transition readiness rises with age, but catheterization and reconstructive surgery were linked to lower social support and self-care scores.
What was studied
A retrospective review of prospectively collected data from 75 adolescents with neurogenic lower urinary tract dysfunction at a tertiary pediatric center, using multivariate regression of Good2Go readiness scores against age, sex, surgery and clean intermittent catheterization.
Key findings
- Each year of age added 4.40 points to total readiness, with gains in knowledge, self-advocacy and self-care
- Catheter use lowered the social support score by 9.69 points
- Reconstructive surgery lowered self-care by 12.12 points
Clinical relevance
Teams preparing these patients for adult care can target support to those who are younger, catheterizing or post-reconstruction.
Limitations
A small single-center retrospective sample with cross-sectional questionnaire scores cannot show causation.
Start transition planning early and add extra self-care and social support interventions for catheter users and surgical patients.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
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.
DOI
10.1016/j.jpurol.2026.105828
PMID
41820115
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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