ESPU Congress 2018 - Abstract Book

169 11–14 APRIL, 2018, HELSINKI, FINLAND 09:31–09:34 S22-5 (PP) ★ LOWER URINARY TRACT SYMPTOMS AND HIRSCHSPRUNG DISEASE: PREVALENCE, RISK FACTORS AND MANAGEMENT Matthieu PEYCELON  1 , Liza ALI  1 , Elisabeth CARRICABURU  1 , Lise NATIO  1 , Daphné MICHELET  2 , Chrystele MADRE  3 , Christine VITOUS-BROT  3 , Dominique BERREBI  4 , Christine GRAPIN-DAGORNO  5 , Alaa EL GHONEIMI  1 , Arnaud BONNARD  6 and Annabel PAYE-JAOUEN  1 1) Hôpital Robert-Debré, Paediatric Urology, Paris Cedex 19, FRANCE - 2) Hôpital Robert-Debré, Paediatric Anesthesiology, Paris, FRANCE - 3) Hôpital Robert-Debré, Paediatric Intensive Care Unit, Paris, FRANCE - 4) Hôpital Robert-Debré, Paediatric Pathology, Paris, FRANCE - 5) Hôpital Robert-Debré, Pediatric Urology and Surgery, Paris, FRANCE - 6) Hôpital Robert-Debré, Pediatric Surgery, Paris, FRANCE PURPOSE To define the prevalence and to identify the risk factors of lower urinary tract symptoms (LUTS) and outcomes after transanal endorectal pull-through (EPT) and Duhamel procedures for Hirschsprung disease (HD). MATERIAL AND METHODS Data were retrospectively reviewed in all patients over 5 years with HD in our center between 2004 and 2012. They were divided into two groups, (A) EPT, and (B) Duhamel. Analyzed param- eters included patients characteristics (birth weight, term, age at surgery), pathological findings, postoperative complications, current clinical examination (Bristol and DVSS score, uroflowmetry). Exclusion criteria: intellectual disability, definitive endostomy. Statistical analysis: Student and Fisher tests. RESULTS 111 patients were included (A=85; B=26) and 27 patients (24 %) (A=19; B=8) with a median age of 6.5 years (A=6.1; B=8.5, p>0.05) were totally analyzed. Median follow-up was 83.4 months. Median age at surgery was 32 days (A=18; B=186, p=0.04). Constipation occurred in 11 patients (40.7 % (A=8; B=3, p>0.05)) and prevalence of LUTS was 22 % (A=4; B=2, p>0.05). Median DVSS score was 10.8 (A=11.5; B=10, p>0.05) with a median Qmax of 17 mL/s (A=16.3; B=18.5, p>0.05). Two patients (10.5 %) had detrusor-sphincter dyssynergia after EPT who needed catheterization through a Mitrofanoff channel. Birth weight, term, age at surgery, sex, surgical approach, pathologi- cal data and constipation score were not analyzed as risk factor for LUTS. CONCLUSIONS LUTS after HD are not uncommon and should be evaluated during follow-up. They could be due to voiding disorders or a consequence of detrusor-sphincter dyssynergia. Surgical approach may not be incriminated in LUTS prevalence. However a larger study is needed.