ESPU Congress 2018 - Abstract Book
146 29 th CONGRESS OF THE ESPU Characteristic/outcome 5 y (n=50) 10 y (n=54) 15 y (n=29) p Incomplete emptying 64 % (n=32) 54 % (n=29) 62 % (n=18) 0.5350 LUTS 34 % (n=17) 33 % (n=18) 14 % (n=4) 0.1152 Anticholinergics/CIC 26 % (n=13) 22 % (n=12) 10 % (n=3) 0.2489 Abnormal uroflow 40 % (n=20) 33 % (n=18) 38 % (n=11) p=0.7730 Any abnormal feature; one or more of above 92 % (n=46) 87 % (n=46) 76 % (n=22) 0.1405 CONCLUSIONS Bladder function in PUV is abnormal from childhood to puberty with no significant change in the proportion of patients related to capacity, LUTS, need for treatment and uroflow. 1 Austin PF et al. J Urol 2014; 191: 1863–1865 16:03–16:08 S19-5 (LO) [PRESENTATION GROUPED WITH PREVIOUS] IS BLADDER CAPACITY IN POSTERIOR URETHRAL VALVES (PUV) AT 5, 10 AND 15 YEARS ASSOCIATED WITH EMPTYING AND RENAL IMPAIRMENT? Riccardo MANUELE 1 , Joanna CLOTHIER 1 , Anne WRIGHT 1 , Vanessa GUIDI 2 , Aurora MARIANI 2 , Kalpana PATIL 2 , Arash TAGHIZADEH 2 and Massimo GARRIBOLI 2 1) Evelina London Children's Hospital, Paediatric Bladder Disorders, London, UNITED KINGDOM - 2) Evelina London Children's Hospital, Paediatric Urology, London, UNITED KINGDOM PURPOSE Bladder capacity (BC) in PUV may be abnormal; we studied whether BC is associated with incom- plete emptying or impaired renal function. MATERIAL AND METHODS Retrospective cross-sectional review of non-invasive urodynamics at the age of 5, 10 and 15 years in boys with PUV. Data recorded: Bladder capacity (BC) classified as large, normal and small as per ICCS criteria1; percentage ratio for BC and expected BC (EBC); post-void residuals (PVR); iohexol GFR. Patients divided into 3 groups according to their age. Statistical tests performed within each group (p statistically significant <0.01): Chi Square to evaluate BC and incomplete emptying. Pearson to compare voided volume (VV) and PVR Pearson to compare BC/EBC% and GFR. RESULTS We identified studies from 133 children between 2008–2017; patients with renal transplant (n = 25) and bladder augmentation (n = 13) were excluded. There is no statistically significant correlation between incomplete bladder emptying and BC in the three age groups (although there appears to be a trend); p=0.10, p=0.08, p=0.05. VV is not related to PVR: p=0.30 (group 1), p=0.66 (group 2), p=0.48 (group 3). Furthermore BC does not predict renal impairment: p=0.28 (group 1); p=0.64 (group 2); p=0.31 (group 3).
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