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28
TH
CONGRESS OF THE ESPU
S19: MISCELLANEOUS
Moderators: Daniel Cabezalí (Spain), Henning Olsen (Denmark)
ESPU Meeting on Friday 21, April 2017, 16:45–17:40
16:45–16:50
S19-1 (LO)
★
VISUAL GUIDELINES AND TUTORING IN PEDIATRIC
UROLOGICAL SURGERY
Stanislav KOCHEROV
1
, Shahar ROTEM
1
, Jawdat JABER
1
, Galit AVRAHAM
1
,
Michal DARMON
2
, Genady LEV
2
, Judit GABAY
2
and Boris CHERTIN
1
1) Shaare Zedek Medical Center, Pediatric Urology, Jerusalem, ISRAEL - 2) Shaare Zedek Medical Center, Operating
Room, Jerusalem, ISRAEL
PURPOSE
The aim of this prospective randomized study was to evaluate of impact of visual guidelines (picture
book) and parents tutoring upon pediatric urologic surgery on parents stress and anxiety, the num-
ber of postoperative contacts and complications.
MATERIAL AND METHODS
Following institutional ethical committee approval, special picture bookreflecting different stages
of the convalescent period following multiple types of pediatric urological surgerywas developed.
All parents were randomly divided into two groups. 33 parents from the first group received the
picture book in addition to routine instructionsprior to the surgery and 31 from the secondreceived
routine postoperative instructions only. The parents were asked to answer on questionnaire (APAIS)
regarding the level of anxiety before surgery and immediately after surgery in recovery room. The
number of postoperative parent’s calls, non-planed ER visits and complications were recorded.
RESULTS
No statistically significant difference in perioperative parental anxiety was found (p=0.88). Visual
tutoring group had significantly lower rate of ER admissions (6.6% vs 18.6%, p=0.0433), however
parents from this group made a higher number of postoperative calls (9.9% vs 3.1%, p=0.38).
2 (6.6%) from the tutoring group expressed their desire to omit visual counseling in their future
surgery preparation and 4 (13.2%) hadn’t their opinion about that. Overall satisfaction with regards
to the preoperative counseling and information and the number of postoperative complications was
similar in both group.
CONCLUSIONS
Visual tutoring doesn’t add any value to parental preparation. Moreover, some parents preferred
omitting visual information from future preoperative counselling.