ESPU Congress 2018 - Abstract Book

139 11–14 APRIL, 2018, HELSINKI, FINLAND 15:07–15:10 S18-2 (PP) LONG TERM OUTCOMES OF MALE EPISPADIAS Johanna THOMAS  1 , Manoj SHENOY  2 , Imran MUSHTAQ  1 and Dan WOOD  3 1) Great Ormond Street Hospital for Children NHS Foundation Trust, Urology, London, UNITED KINGDOM - 2) Nottingham University Hospital, Paediatric Urology, Nottingham, UNITED KINGDOM - 3) University College London Hospital NHS Foundation Trust, Urology, London, UNITED KINGDOM PURPOSE Isolated male epispadias is rare with a reported incidence of 1 in 117,000. We present a series of 30 male patients presenting with primary epispadias between 1989–2002. We looked at the number of surgical procedures undertaken, continence and sexual function. MATERIAL AND METHODS We looked at Male primary epispadias patients from our database who had gone through transition into the Adolescent service. This was a retrospective review looking at age of presentation, age of primary surgery, need for further surgery, continence and sexual function. The information was based on outpatient documentation. RESULTS We identified 58 patients and obtained follow-up data in 30 (sub-symphyseal 21, penile 9). Follow-up ranged from 15–27 years. Primary surgery took place between 9–48 months. 22 had Cantwell-Ransley repair, 3 had a tumble-type repair, 1 had a reversed Duckett repair and 4 had their primary surgery at another centre. 28 patients needed further surgery during follow-up: continence procedures (26) and revision surgery (12). Continence procedures included injection of bulking agents, bladder neck reconstruction and Kelly procedure. At follow-up 15 were continent requiring no protection, 9 reported stress leakage, 6 voided using a Mitrofanoff, 4 of these had an ileocys- toplasty. 19 patients had documentation on feelings regarding cosmesis; 17 expressed concern. 21 patients had documentation about sexual function; all 21 had normal erections with 6 reporting chordee and 9 reporting retrograde ejaculation. 4 patients had surgery in adulthood for cosmesis. No patients were recorded to have fathered any children, 2 had sought fertility advice. CONCLUSIONS There are very few studies looking at the long-term follow up of patients with primary epispadias. We have demonstrated here favourable outcomes which will be useful for clinicians in counselling patients and their parents. 15:10–15:16 Discussion