The basics -- The transition process: Initial assessment and defining goals and development of the multidisciplinary team -- Approach to the myelodysplasia patient -- Approach to the exstrophy patient -- Approach to the posterior urethral valve patient -- Approach to the hypospadias cripple -- Genital/urethra -- Sexual function/fertility in myelodysplasia -- Male (ejac/erectile) -- Female (incl POP) -- Revision genitoplasty, sexual function, fertility and pelvic organ prolapse in exstrophy  + management of pregnancy -- Natural history of adults with hypospadias + urethral reconstruction, fertility, and chordee in hypospadias -- Issues in the long-term management of adolescents and adults with disorders of sexual differentiation (management of gonads, genital reconstruction, late presentation of the undiagnosed DSD) -- Lower tract problems in adulthood for patients with bladder reconstructions -- New or escalating recurrent UTIsTBD -- Progressive renal deterioration - distinguishing urological from nephrological causes. Include nephrology input on renal protection -- New or worsening incontinence -- Trouble-shooting urostomies (leakage/stenosis) - indications for and approaches to revision surgery -- Cancer risk and surveillance in the patient with a augmentation cystoplasty or urostomy -- Upper tract considerations -- Renal transplant in patients with abnormal lower tracts -- Management of calculi in patients with malabsorption or osteodystrophy -- Late presentation of patient with primary bladder neck obstruction and/or PUV -- Age-related urological problems in the complex urological patient -- BPH and neurogenic bladder -- Prostate cancer screening/treatment -- Hypogonadism -- Urological follow-up of childhood malignancies eg Wilms Tumor and Rhabdomyoscarcomas.