ESPU Congress 2017 - Abstract book

273

19–22 APRIL, 2017, BARCELONA, SPAIN

13:12–13:15

S25-7 (PP)

LONG-TERM EFFICACY OF YOUNG-DEES BLADDER NECK

RECONSTRUCTION IN THE TREATMENT OF CHILDREN

WITH URINARY INCONTINENCE: LESSONS LEARNED

FROM THE PAST

Alice FAURE

, Geraldine HERY

, Mirna HADDAD

, Thierry MERROT

and Jean-Michel GUYS

1) Aix-Marseille Université, APHM, CHU Hôpital Timone, Pediatric surgery, Marseille, FRANCE - 2) Aix-Marseille

Université, APHM, CHU Hôpital Timone, PEDIATRIC SURGERY, Marseille, FRANCE

PURPOSE

Since a long time Young-Dees bladder neck reconstruction (YDBNR) has been used for the man-

agement of urinary incontinence directed at improving sphincteric incontinence. The majority of

experience with the YDBNR has been in exstrophy-epispadias population with a good success rate

at short and median term follow-up. In neurogenic bladder the YDBNR did not appear to provide

continence rate as good as in exstrophy-epispadias population. No objective data with a real long-

term follow-up have yet been published after YDBNR.

MATERIAL AND METHODS

We retrospectively reviewed the clinical outcomes of 55 children (Group 1 n=35 patients with neuro-

genic bladder-Group 2 n= 20 patients with bladder exstrophy-epispadias) who underwent YDBNR.

Because of unsatisfactory results, 45 (81.8%) patients received bladder neck injection (BNI).

RESULTS

After a median follow up of 16 years (range 5-29) 10 patients (18%) were socially continent after

the YDBNR (17% from the group1 and 20% for the group2). Of the remaining 45 patients who were

still incontinent after the first YDBNR, 15 became continent after associated BNI (n=13 in group 1,

n=2 in group 2) difference between group 1 and 2 was significant (p=0.05). The others patients still

incontinent after YDBNR and BNI (n=30) required either bladder neck closure, artificial sphincter, or

suspension of the bladder neck.

CONCLUSIONS

Long-term results with isolated YDBNR are modest. This procedure does not appear to be a solu-

tion at long term even if associated with BNI in bladder exstrophy. However BNI bolster up the

results of YDBNR in neurogenic bladder.

13:15–13:18

S25-8 (PP)

COMPLICACIONES AUS

Anahi SALOMON, Yesica Yasmin QUIROZ , Eddys FORTUNATO, Roberto VAGNI,

Maria ORMAECHEA, Juan MOLDES and Francisco DE BADIOLA

Hospital Italiano de Buenos Aires, Pediatric Urology, Ciudad De Buenos Aires, ARGENTINA

PURPOSE

The use of artificial urinary sphincters (AUS) is one of the treatment for patients with urinary

sphincteric incompetence (SI). In the long term follow up of AUS mechanical complications requires

revisions and different types of solutions.

We evaluate the revisions and complications of the AUS installed at our institution.