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19–22 APRIL, 2017, BARCELONA, SPAIN
MATERIAL AND METHODS
Medical records of 120 patients from 2001 to November 2016 were reviewed. Fifty-two patients
underwent SAS and 68 patients underwent LPS. Mean follow-up time for SAS and LPS group
were 18.1 and 27.6 months respectively (p = 0.031). SAS was performed with a 1-cm upper scrotal
incision, a vein from pampiniform plexus was cannulated and foam sclerosant (mixture of sodium-
tetradecyl-sulphate, lipiodol and air) was injected into internal spermatic vein under fluoroscopy.
LPS was performed by conventional 3-ports mass ligation technique. Outcomes including clinical
recurrence, operative time, post-operative hydrocele and other complications were compared and
analyzed.
RESULTS
Clinical varicocele recurrence rate was significantly lower in the SAS group than the LPS group
(1.92% vs 11.76%, p= 0.047). One patient in SAS group had grade I recurrence while 8 patients in
LPS group had higher grades of recurrence (4 grade II and 4 grade III). All the recurrences were
observed within 1 year after primary surgeries. There was no post-operative hydrocele in SAS
group compared with 14.7% in LPS group (p= 0.01). There was no significant difference in the
mean operative time between both groups (63.2 mins vs 58.9 mins, p= 0.34). No other significant
complications were observed.
CONCLUSIONS
Scrotal antegrade sclerotherapy has a higher success rate with no post-operative hydrocele when
compared to laparoscopic Palomo surgery in our study. Further prospective study is necessary to
validate the results.
15:00–15:03
S10-4 (PP)
VITAMIN B12 LEVEL IN CHILDREN AND ADOLESCENT
AFTER URINARY DIVERSION USING THE ILEOCECAL
SEGMENT – A LONG TERM STUDY IN 97 PATIENTS OVER
28 YEARS
Nina HUCK
1
, Karen DAVIS
2
, Patrick FAE
3
, Annette SCHRÖDER
4
and Raimund STEIN
1
1) University Medical Centre Mannheim, Department of Pediatric and Adolescent Urology, Mannheim, GERMANY -
2) Johannes Gutenberg University, Department of Urology, Mainz, GERMANY - 3) Klinikum Darmstadt, Department
of Urology, Darmstadt, GERMANY - 4) Johannes Gutenberg University, Department of Urology Section of Pediatric
Urology, Mainz, GERMANY
PURPOSE
Decreasing vitamin B12 levels as a consequence of the use of the ileocecal segment for continent
urinary diversion is of great concern for paediatric and adult urologists. In this study, we evaluated
prospectively the vitamin B12 levels in patients with regular follow-up in our outpatient clinic. In this
study, we wanted to know, if there is a clinical significant decrease of the vitamin b12 levels and
also at what time after the operation performed in childhood, Vitamin b12 levels should be checked.
MATERIAL AND METHODS
Between 1984 and 2008 the ileocecal segment for urinary diversion was used in 134 children and
adolescent up to theageof 18. In99patients vitaminb12 levelswere checked; 50maleand49 female,
55 had a neurogenic bladder, 28 bladder exstrophy-epispadias complex , 11 Rhabdomyosarkom,
5 functional or traumatic bladder loss. 50 had an Appendix stoma, 49 an ileal nipple as a continence
mechanism.