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144
29
th
CONGRESS OF THE ESPU
15:57–16:00
S19-2 (PP)
PREVIOUS CHARACTERISTICS OF THE TREATMENT
OF POSTERIOR URETHRAL VALVES AND LOWER URINARY
TRACT SYMPTOMS IN ADULTHOOD
Jenni JALKANEN
1
, Jukka HEIKKILÄ
2
and Seppo TASKINEN
3
1) Kuopio University Hospital, Pediatric Surgery, Kuopio, FINLAND - 2) Hyvinkää Hospital, Pediatric Surgery, Hyvinkää,
FINLAND - 3) Helsinki University Central Hospital, Paediatric surgery, Helsinki, FINLAND
PURPOSE
Lower urinary tract symptoms (LUTS) occur about twice as often in adults treated for posterior
urethral valves (PUV) than in normal population. The purpose is to evaluate the factors affecting
LUTS in adults treated for PUV.
MATERIAL AND METHODS
LUTS were evaluated with DAN-PSS questionnaire in 78 adult patients treated for PUV in child-
hood. Symptom scores (SS) were compared with patient characteristics and types of treatment.
RESULTS
Patient median age was at treatment 0.6 (range 0–11.5) years and at investigation 35 (range
16–57) years. Median total-SS was 1 (IQR 0–5, range 0–18). Patient age at investigation and
total-SS were correlated (R=0.220, p=0.032), but primary creatinine level and total-SS were not
(R=0.260, p= 0.081). 18 patients who had temporary ring type ureterocutaneostoma and 10 pa-
tients who had undergone kidney transplantation had similar total-SSs as those without stoma or
kidney transplantation (p=0.487 and p=0.944 respectively). Median age for achieving both day and
night continence was 6.3 years. Total-SS and the age becoming continent were not correlated
(p=0.365 and p=0.679 respectively). In the age group 39-year or more, 19 patients who had had
bladder neck incision (BNI), storage-SS was higher than in the remainder 15 patients (1 (IQR 0–5)
vs. 0 (IQR 0–0), p=0.030. However, the age at diagnosis was younger among those who had
undergone BNI (0.8 (IQR 0.5–4.5) years vs. 5.9 (IQR 4.3–9.1) years, p=0.003).
CONCLUSIONS
LUTS causing bother are rare in adults treated for PUV in childhood. Reasons for LUTS are appar-
ently multifactorial and single reasons are difficult to indicate.
16:00–16:03
S19-3 (PP)
LONG-TERM FOLLOW-UP OF POSTERIOR URETHRAL
VALVES AND RISK FACTORS FOR RENAL FAILURE
Anna BUJONS, Arnau SERRA and Erika LLORENS DE KNECHT
Fundació Puigvert, Paediatric Urology, Barcelona, SPAIN
PURPOSE
Posterior urethral valves (PUV) are the first congenital cause of low urinary tract obstruction and
urological renal failure. Both the associated congenital renal dysplasia and subsequent urodynamic
alterations can condition its evolution. The objective of this study is to describe the long-term evolu-
tion of our series and to determine possible prognostic factors.