ESPU Congress 2018 - Abstract Book

223 11–14 APRIL, 2018, HELSINKI, FINLAND 10:50–10:55 S1-8 (PP) SUPERHEROES ON THE TOILET Ezgi ALTUN TANIL  1 , Sibel TIRYAKI  2 , Elif ERDOGDU AK  3 , Ibrahim ULMAN  1 and Ali AVANOGLU  1 1) Ege University, Pediatric Surgery Division of Pediatric Urology, Izmir, TURKEY - 2) Ege University-Faculty of Medicine, Department of Pediatric Surgery, Division of Pediatric Urology, Izmir, TURKEY - 3) Ege University, Pediatric Surgery, Izmir, TURKEY PURPOSE Urodynamic study is an essential tool to evaluate bladder dysfunction; however, it is highly inva- sive. Children are disturbed by not only the placement of a urethral catheter, but also the need for urinating in a hostile environment with foreign people around. We reconstructed our urodynamics laboratory to decrease the discomfort of children. MATERIAL AND METHODS We designated our theme for the room as superheroes. We used posters of superheros on the toilet (Wyatt 9, UK) (Spiderman, Captain America, Superman, Wonderwoman and Batman) by hanging them to the wall where they will be seen as the first thing as children enter the room. We then made handmade felt facemasks for each superhero poster and hang them under each poster. We also made a superhero themed certificate which implies that the child became a superhero as he/she finished the study superb. RESULTS After this design in August 2017, the first thing a child does in our lab is to choose a hero. Then he/ she puts the mask on and the urotherapist behaves accordingly. We believe this practice provides performing urodynamics without sedation in majority of patients between years 3 and 7 when it is hardest to implement. CONCLUSIONS The psychological trauma of invasive diagnostic procedures is often disregarded. Patient centered care requires adjustment of environment to children. Our experience shows how small changes make big impacts in care of children.