ESPU Congress 2018 - Abstract Book

159 11–14 APRIL, 2018, HELSINKI, FINLAND 08:19–08:22 S21-4 (PP) EARLIER INTRODUCTION TO CIC PROVIDES BETTER COMPLIANCE IN SPINA BIFIDA PATIENTS Ezgi ALTUN TANIL, Sibel TIRYAKI, Ali AVANOGLU and Ibrahim ULMAN Ege University - Faculty of Medicine, Pediatric Surgery Division of Pediatric Urology, Izmir, TURKEY PURPOSE Clean intermittent catheterization is an important tool in the management of children who cannot empty their bladders. Our observation was that children and parents are more prone to adapting to CIC in earlier ages. The aim of this study is to evaluate the compliance with CIC in terms of age CIC was started in spina bifida patients. MATERIAL AND METHODS Spina bifida patients admitted to urodynamic laboratory between 2013 and 2017 were questioned in terms of compliance with CIC. Gender, paraplegia, anatomic or mental disabilities, continence, urinary infections, concomitant diseases, and person performing CIC were also recorded. The data were reviewed retrospectively. RESULTS The study included 162 patients (77 boys, 85 girls) who were reevaluated in a median of 5 (1–24) years. Mean age was 3.30 (±4,507) years when CIC was started. In total, 127 patients (78 %) were compliant with CIC, 79 (49 %) were dry between intervals, and 105 (65 %) didn’t have urinary infec- tions. Eighty-four (52 %) had paraplegia. While gender (p=0.251), paraplegia (p=0.418), anatomic or mental disabilities (p=0.418), the person performing CIC (p=0.355) had no impact; the age of starting CIC significantly effected compliance (p<0.001). The mean age at start of CIC was 2.49 for the patients who were compliant and 6.26 for those who weren’t. CONCLUSIONS The delay in initiating CIC in spina bifida patients with neurogenic bladder does not only risk urinary tract and retard continence, but it also decreases compliance with CIC. Our study shows better adaptation when it is started in early ages. 08:22–08:25 S21-5 (PP) ACUTE TRANSVERSE MYELITIS IN CHILDREN: LONG-TERM BLADDER AND BOWEL OUTCOMES Bernardita TRONCOSO SOLAR, Aurore BOUTY, Mike O'BRIEN, John HUTSON and Yves HELOURY The Royal Children's Hospital Melbourne, Urology, Melbourne, AUSTRALIA PURPOSE Bladder and bowel dysfunction are common in acute transverse myelitis (ATM), but their charac- teristics and natural history have only been briefly reported in paediatric patients. We describe the long-term bladder and bowel outcomes of ATM in children. MATERIAL AND METHODS Retrospective review of the clinical features, and radiological and urodynamic findings in children with ATM diagnosed between 2000–2017.