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28
TH
CONGRESS OF THE ESPU
S11-12 (P without presentation)
USE OF THE MIC-KEY BUTTON FOR INTERMITTENT
BLADDER DRAINAGE IN CHILDREN
David BEN MEIR
1
, Bezalel SIVAN
2
, Roei MORAG
1
, Anna BABAOF
1
, Iris BROWN
1
,
Rachel MILKH
1
, Or AHARON DVIR
3
, Michal MOZES
3
and Shay BENBENISHTI
3
1) Schneider children’s medical center of Israel, Urology, Petah Tikva, ISRAEL - 2) Schneider children’s medical center
of Israel, Urology, Petah Tikva, ISRAEL - 3) Schneider children’s medical center of Israel, Psychology, Petah Tikva,
ISRAEL
PURPOSE
The Mic-Key button can be used to drain the urinary bladder intermittently in patients that cannot
perform intermittent catheterization. We assessed the efficiency and quality of life in children with
a Mic-Key button.
MATERIAL AND METHODS
Between 2015-2016 a Mic-Key button was inserted in 11 patients, 5 boys and 6 girls, with a median
age of 6 years (range 1.3-18). Indications included: difficulty performing IC - 6, prior to vesicostomy
closure -3, refusal to catheterize via urethra -1 and irreversible urethral stricture -1.
The Mic-Key button was exchanged every 3-4 weeks at which time the bladder was flushed with
Gentamycin. Urine cultures were taken before the exchange or when a UTI was suspected. Quality
of life was assessed using validated questionnaires (PedsQL, SDQ) and a comparison to a group
of 10 children performing intermittent catheterization was performed.
RESULTS
The Median time with Mic-Key button was 6 months (Range 1-10). All children developed intermittent
bacteriuria approximately one month after placement of Mic-Key button. Five of the eleven patients
had a symptomatic UTI. No complications related to insertion occurred. One patient developed
a granuloma around the insertion site. A statistical difference (p smaller than 0.05) in quality of life,
based on the physical and emotional sub scales, was noted in comparison to children performing
intermittent catheterization.
CONCLUSIONS
A Mic-Key button can be a temporary solution in children who cannot empty their bladder by
Intermittent catheterization. In contrast to published literature a high rate of UTI’s occurred. The
quality of life was better in children with a Mic-Key button when compared to children performing
Intermittent catheterization.