ESPU Congress 2018 - Abstract Book

11–14 APRIL, 2018, HELSINKI, FINLAND

MATERIAL AND METHODS

Questionnaires concerning male fertility and erectile function (IIEF-5 questionnaire) were mailed

three times to 74 men, who had been treated for spermatic cord torsion (SCT) as well as to 92 con-

trols treated for torsion of testicular appendage (TAT) in 1977–1995 and who were currently older

than 30 years.

RESULTS

35/74 (47 %) of SCT patients and 58/92 (63 %) of the TAT patients responded. The median age at

investigation was 41 (IQR 36–46) within the SCT group and 41 (IQR 38–46) years in the control

group, p=0,814. The paternity rate was 23/35 (66 %) in the SCT group and 26/34 (76 %) in the

controls, p=0.43. Within 30–50 year old SCT patients, 9/16 (56 %) had children after orchiectomy

and 13/16 (81 %) after detorsion (p=0.252).

IIF-5 total score was lower in SCT patients than in the controls; median 24 (IQR 22–25) vs 25 (IQR

24–25), p=0.020. Especially significant the difference was in confidence to get and keep an erec-

tion (Q 1), p=0.005. However, significant or moderate erectile dysfunction (score <12) was rare in

both groups (3/32 (9 %) in the patients and 1/35 (3 %) in the controls, p=0.342.

CONCLUSIONS

Paternity rate was similar on SCT patients and the controls. Neither the type of surgery (orchiectomy

vs. detorsion) affected paternity rates. Erectile function scores were somewhat better in the controls.

However, moderate and significant erectile dysfunction was rare in both groups.

14:26–14:29

S9-6 (PP)

SURGICAL OUTCOME IN NEWLY TRAINED GENERAL

PRACTITIONER FOR MALE INFANT CIRCUMCISION

BY PLASTIBELL DEVICE IN A COMMUNITY CLINIC

Abdul Rauf KHAN

, Mohammed Ruhul AMIN

, Darrel GREGORY

Shabir MERALI

and Murtaza KHANBHAI

1) Thornhill Circumcision Centre, Paediatric Surgery, Luton, UNITED KINGDOM - 2) Thornhill Circumcision Centre, GP

surgery, Luton, UNITED KINGDOM

PURPOSE

Male infant circumcision (MIC) is performed across the country by many General Practitioners (GP).

There is no national MIC training centre for newly qualified GPs. Our aim is to review the surgical

outcome in a newly trained GP at our centre as compared to experienced GPs for MIC by Plastibell

device to validate our training program.

MATERIAL AND METHODS

We reviewed the surgical outcome of MIC conducted by experienced GPs (eGP) and newly trained

GP (nGP) over a 1 year period (May 2016 to April 2017). A GP was trained in our centre (MIC was

observed n=10, assisted n=20 and performed under supervision n=15) by modified WHO MIC

training course for 9 weeks before study began. The nGP received mentoring during the study but

otherwise performed MIC independently. Data was collected prospectively and early postopera-

tive complications were compared between nGP and two eGPs who have performed more than

2000 MICs. Follow-up was arranged if required.