225 / 238
225
11–14 APRIL, 2018, HELSINKI, FINLAND
12:10–12:20
S2-2 (LO)
THE OUT-OF-ROUTINE URODYNAMIC STUDY IN A CAUDAL
DUPLICATION CASE
Ezgi ALTUN TANIL
1
, Sibel TIRYAKI
2
, Ibrahim ULMAN
1
and Ali AVANOGLU
1
1) Ege University, Pediatric Surgery Division of Pediatric Urology, Izmir, TURKEY - 2) Ege University-Faculty
of Medicine, Department of Pediatric Surgery, Division of Pediatric Urology, Izmir, TURKEY
PURPOSE
Caudal duplication anomaly is a complex disorder with varying forms of duplication in cloaca and
notochord. Gastrointestinal, genitourinary and spinal anomalies vary widely in these patients. The
urodynamic study of a patient with caudal duplication abnormality was presented for its uniqueness.
THE CASE
A 9 year old girl, who was diagnosed as a caudal duplication syndrome in the neonatal period
and did not admit since then, admitted to outpatient clinic. She did not receive any surgical treat-
ment and did not suffer any serious health condition. She was still in diapers. In the laparotomy for
gastrointestinal reconstruction, the duplicated hindgut segment was excised and colostomy was
performed. Two bladders smaller than normal were observed. As the urinary continence story was
suspicious and the family was unwilling for additional surgery, she was followed for another year
without any surgical intervention.
URODYNAMICS
Urodynamic testing was performed after placement of pressure probes in both bladders and a pres-
sure probe for intra-abdominal pressure measurement through the colostomy. The bladder on the
left was slightly larger (right 40 mL, left 130 mL), and the total capacity was found to be about half
of the expected for age. Excision of the right bladder, bladder neck closure, ileocystoplasty and
Mitrofanoff procedure with the left bladder was planned.
CONCLUSIONS
Complex congenital abnormalities require adapting the nursing care and practices beyond the rou-
tine. The awareness of different congenital anomalies, an experienced team and patient-centered
approach are important while planning the reconstructive surgeries.
12:20–12:30
S2-3 (LO)
LONG-TERM OUTCOME OF SUPRAPUBIC MINITM BUTTON
BLADDER DRAINAGE AS A SECOND-LINE OPTION
TO URETHRAL CIC
Niamh GEOGHEGAN, Elizabeth COLTON, Nicholas MADDEN, Diane DE CALUWE,
Nisha RAHMAN and Marie-Klaire FARRUGIA
Chelsea & Westminster Hospital, Paediatric Urology, London, UNITED KINGDOM
PURPOSE
Suprapubic button (SPB) drainage is an effective option to urethral CIC is challenging, and as
a temporising option until a more permanent surgical conduit is implemented. Our aim was to
determine the long-term outcome of children managed with SPB drainage.