ningocele, cloacal malformation, disorders of sexual development, and even conditions like hypospadias, vesicoureteral reflux and undescended testes. Long term care of any chronic childhood disorder has significant financial implications due to costly resource utilization, expertise and ancillary support [2, 3]. Patients are often ill-prepared to manage their transition due to a variety of factors [4, 5, 6]. Additionally, adolescents and young adults with major urologic congenital anomalies in North America are often managed by overextended pediatric urologists and adult urologists, who may be ill-prepared to manage