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19–22 APRIL, 2017, BARCELONA, SPAIN
15:39–15:41
S3-3 (CP)
PARTIAL DEHISCENCE OF APPENDICOSVESICOSTOMY
ASSOCIATED WITH THE USE OF FOLEY CATHETER
REPORT OF PATIENTS WITH NEW ONSET URINARY
LEAKAGE
Juan Luis SOTO
Hospital Civil Nuevo de Guadalajara, Pediatric Surgery, Guadalajara, MEXICO
PURPOSE
Appendicovesicostomy (APV) is commonly done to facilitate intermittent catheterization. Some
patients use indwelling catheters overnight or during illnesses, travel, etc.
We report partial APV dehiscence from indwelling catheters with inflated balloons.
MATERIAL AND METHODS
We reviewed records of patients with new urinary incontinence from the APV following indwelling
catheter use through the APV.
RESULTS
3 patients with spina bifida and APV developed new incontinence after indwelling catheter use.
2 used overnight catheterization with the balloon inflated. The 3
rd
had the indwelling catheter placed
by another physician evaluating recurrent UTIs. In each, cystoscopy demonstrated dehiscence of
the intravesical segment of the APV, presumably resulting from pressure necrosis by the inflated
balloon. In 2 cases the dehisced segment was re-tubularized, while the 3
rd
had the APV reimplanted
because of concomitant occasional difficulties with catheterization. All were subsequently dry.
We have not observed this complication in patients using indwelling catheters without an inflated
balloon.
CONCLUSIONS
To our knowledge this APV complication has not been previously reported. The potential for disrup-
tion of the intravesical segment by an inflated balloon suggests these should be avoided.
15:41–15:43
S3-4 (CP)
★
TEMPORARY INFANTILE PENILE PROTHESIS:
PRELIMINARY RESULT ON CASE OF TOTAL PENILE LOSS
AFTER TOTAL BLADDER EXSTROPHY RECONSTRUCTION
Matthieu PEYCELON
1
, Delphine HADDAD
1
, Jonathan RUSKY
2
, Liza ALI
1
,
Enaam RABOEI
1
, Marc-David LECLAIR
3
, Annabel PAYE-JAOUEN
1
and Alaa EL-GHONEIMI
2
1) Robert-Debré University Hospital, AP-HP; Université Paris Diderot, Sorbonne Paris Cité, Paediatric Urology, Paris,
FRANCE - 2) University Hospital Robert Debre, APHP, University Paris Diderot , Sorbonne Paris Cite, Paediatric
Urology, Paris, FRANCE - 3) Hopital Mere-Enfant, CHU Nantes, Paediatric Surgery and Urology, Nantes, FRANCE
PURPOSE
Total necrosis of the genitalia is a rare complication of bladder exstrophy surgery. The paucity of
healthy skin makes challenging penile reconstruction surgery. We describe a new idea of using
temporary infantile non-functioning prosthesis phaloplasty