ESPU Congress 2017 - Abstract book

312

CONGRESS OF THE ESPU

S2: EXSTROPHY-EPISPADIAS

COMPLEX

Moderators: Karen Kwak (Netherlands), Nathalie Fort (France)

ESPU-Nurses Meeting on Thursday 20, April 2017,

12:00–12:50

12:00–12:10

S2-1 (LO)

CLEAN INTERMITTENT VAGINAL CATHERIZATION (CIVC):

IS IT AN ALTERNATIVE TO VAGINOSTOMY IN MANAGING

HYDROCOLPOS ASSOCIATED WITH UROGENITAL SINUS

(UGS)?

Mohamed ELSAWY

and Abd Alnasser ALSAID

1) Ibn Sina Hospital, Paediatric Urology-Surgery, Kuwait, KUWAIT - 2) Ibn Sina Hospital, Pediatric Surgery, Urology Unit,

Shuweikh, KUWAIT

PURPOSE

Vaginostomy has been practiced as a standard procedure in drainage of hydrocolpos with UGS.

We herein emphasize the effectiveness of CIVC in drainage of hydrocolpos in patients having UGS.

The advantage of this non invasive technique in facilitating reconstructive surgery by avoiding

Vaginostomy and its related complications.

MATERIAL AND METHODS

7 patients of pure UGS (without ambiguous genitalia) presented during first week of life with clini-

cal and ultrasound findings suggestive of huge hydrocolpos. 5 patients underwent Genitoscopy to

study the anatomy and vaginal orifice was seen stenotic on the floor of the common channel which

was dilated with the scope and 10 Fr feeding tube was inserted for a week. After counseling the

parents specifically regarding the advantage associated with avoidance of Vaginostomy related

morbidity, CIVC was started and hydrocolpos was successfully drained every 8 hourly. In the other

2 patients CIVC could be performed successfully without need for Genitoscopy.

RESULTS

Follow up period ranged from 14-19 months. The mean hydrocolpos volume at presentation was

120 ml. Serial ultrasound scan on regular follow up suggested that CIVC with no 8 French feeding

tube was successful in managing hydrocolpos with daily drainage of 15-45 ml with optimum parents

compliance and acceptance. All patients underwent reconstructive procedure successfully without

complication.

CONCLUSIONS

CIVC appears to be an easy, simple, effective non-surgical procedure in management of hydrocol-

pos associated with pure UGS till reconstructive surgery is performed. Awareness among treating

physician may help in reducing the incidence of Vaginostomy thus facilitating reconstructive surgery

and avoid long-term morbidity.