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Review
. 2023 Jan;24(1):17-24.
doi: 10.1007/s11934-022-01127-4. Epub 2022 Nov 25.

Pediatric Psychology in a Urology Division: Unifying Complex Medical and Mental Health Treatment

Christina M Rouse  1
Affiliations
Review

Pediatric Psychology in a Urology Division: Unifying Complex Medical and Mental Health Treatment

Christina M Rouse. Curr Urol Rep. 2023 Jan.

Abstract

Purpose of review: Although pediatric psychology is heavily involved in many medical divisions, its involvement in a urology division is still relatively new and its role continuously evolving and growing.

Recent findings: This article reviews the limited research on the use of psychology in a urology division, including psychosocial struggles across urology diagnoses, dysfunctional voiding, and anxiety surrounding medical procedures and surgery. Urinary diagnoses and presenting problems seen by pediatric psychologists and medical providers at an urban children's hospital are also included. Based on the complex conditions and varied presenting concerns in a urology division, potential assessments and future research are suggested to help gather data for this population moving forward and expand the literature on urology psychology.

Keywords: Catheterization; Enuresis; Pediatric psychology; Urinary concerns; Urology psychology.

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References

Papers of particular interest, published recently, have been highlighted as: •   Of importance •• Of major importance
    1. •• Schast AP, Reiner WG. Pediatric psychology in genitourinary anomalies. Urol Clin of N Am. 2010;37:299–305. https://doi.org/10.1016/j.ucl.2010.03.013 . In this study, the authors reviewed the importance of incorporating a pediatric psychologist into a urology division, which was still incredibly new to the field at the time. They reviewed the urological concerns observed in different age groups and the types of interventions to use with patients and families.
    1. Baskin LS, Kogan BA, Stock JA. Handbook of pediatric urology. 3rd ed. Philadelphia: Wolters Kluwer; 2019.
    1. Diamond DA, Chan IHY, Holland AJA, Kurtz MP, Nelson C, Estrada CR Jr, et al. Advances in paediatric urology. Lancet. 2017;390:1061–71. https://doi.org/10.1016/S0140-6736(17)32282-1 . - DOI
    1. • Wolfe-Christensen C, Veenstra AL, Kovacevic L, Elder JS, Lakshmanan Y. Psychosocial difficulties in children referred to pediatric urology: a closer look. Urology. 2012;80(4):907–13. https://doi.org/10.1016/j.urology.2012.04.077 . The authors advocated for psychosocial screening for pediatric urology patients, especially children that are struggling with voiding dysfunction and enuresis. The findings of higher distress among the voiding dysfunction population are consistent with results of higher reported distress in other pediatric medical conditions in the literature.
    1. Zhao PT, Velez D, Faiena I, Creenan EM, Barone JG. Bullying has a potential role in pediatric lower urinary tract symptoms. J Urol. 2014;193:1743–8. https://doi.org/10.1016/j.juro.2014.08.123 . - DOI

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