ESPU Congress 2018 - Abstract Book

189

11–14 APRIL, 2018, HELSINKI, FINLAND

• Night-time: 3 without overnight drainage

• Median Functional Capacity:400 mls (300–600 mls)

- Further Surgery:

• Bladder Calculi: x1 requiring PCCL

• Mitrofanoff: 3pts; 3x revisions/3x injections

• Revision Neobladder & Monti-Mitrofanoff x1

• Planned renal transplant x2

CONCLUSIONS

Neobladder continent reconstruction is a good alternative for patients with unavailable native blad-

der with complications similar to those of ileocystoplasty in our hands.

12:56–12:59

S26-3 (PP)

STRICTURES OF THE URETEROENTERIC

ANSTOMOSIS AND THE COURSE OF RENAL FUNCTION

IN THE LONG‑TERM OUTCOME AFTER URINARY

DIVERSION USING THE ILEOCECAL SEGMENT

IN CHILDREN AND ADOLESCENTS

Marina DEUKER

, Axel HAFERKAMP

and Raimund STEIN

1) University Hospital Frankfurt, Urology, Frankfurt, GERMANY - 2) University Hospital Mainz, Mainz, GERMANY -

3) University Medical Center Mannheim, Mannheim, GERMANY

PURPOSE

Long-term outcomes are of special concern after urinary diversion in children. In a single institution

retrospective study we evaluated the long-term outcomes of urinary diversion in children and ado-

lescents using the ileocecal segment in regard to the impact on renal function and comparing the

course of creatinine from children with strictures of the ureteroenteric anastomosis to those without.

MATERIAL AND METHODS

Since the implementation of the MAINZ-Pouch, the ileocecal segment was used (minimal follow-up:

5 years) in 125 children for continent urinary diversion.

Ureteric implantation was performed whenever possible in an antirefluxive manner.

Renal function was evaluated by postoperative creatinine and the course of creatinine was analysed

by linear regression.

RESULTS

Median follow-up was 15.8 years (0,4–28.5years).

17 % (20 patients) developed a total of 34 strictures at the ureteroenteric anastomosis, 8 patients of

them had multiple recurrence of ureteroenteric stenoses (up to 5 times).

To gain a reliable course of creatinine we evaluated all patients with at least 10 creatinine measure-

ments during follow-up. We had 48 children with at least 10 creatinine measurements (range 0–81),

among them were 7 children with ureteroenteric stenosis. We evaluated the course of creatinine

with linear regression. We found a median linear regression 0,0213 (worsening of renal function)

overall.

Surprisingly the children that developed a stricture of the ureteroenteric anastomosis were not

worse in the course of creatinine (median linear regression 0,0085).