ESPU Congress 2018 - Abstract Book

228 29 th CONGRESS OF THE ESPU S3: MISCELLANEOUS Moderators: Karen Kwak (Netherlands), Alexandra Vermandel (Belgium) ESPU-Nurses Meeting on Thursday 12, April 2018, 14:00–14:30 14:00–14:10 S3-1 (LO) MANAGEMENT OF KIDNEY REPLACEMENT TREATMENT IN BLADDER EXTROPHY Gemma FERNÁNDEZ MALDONADO, Maria MUÑOZ PÉREZ, Marta CASADO CARRO, Esther FRANQUET BARNILS, Maria Teresa ALONSO TORRES and Sandra PÉREZ SANCHO Fundació Puigvert, Nurse, Barcelona, SPAIN PURPOSE Bladder exstrophy is a rare urogenital malformation, more often in males than females (1 to 3). For the treatment of the disease, reconstructive care in Pediatric Urology is required. Its management is difficult and complicated, with diverse complications, among them, the Chronic Renal Disease. It is important to maintain the same care team in the transition stage between the pediatric and adult age, favors the follow-up of patients and improves their quality of life. Objective: To describe clinical characteristics, evolution and type of renal replacement therapy in patients with bladder exstrophy. MATERIAL AND METHODS A descriptive, retrospective, and Unicentric study in an Uropaediatrics Unit from 1980 to 2016, in Spain. The study population were all patients diagnosed with exstrophy in renal replacement therapy. The sample consisted of 4 patients. Sociodemographic variables, clinical care, and com- plications were collected. RESULTS Four cases of bladder exstrophy were studied in renal replacement therapy. 100 % men. The mean age of onset of CKD was 36 ± 12 years. The initial renal replacement therapy was 100 % Hemodialysis by Venous Artery Fistula (AVF), at 3.3 ± 1.2 years of diagnosis of the disease (Range 0–5) was performed in 75 % of cases, Renal Transplant, 66, 66 % cadaver donor and 33 % live donor. CONCLUSIONS Nursing professionals should provide care that promotes therapeutic education, promotion, and prevention of complications of the disease before its occurrence and / or provide tools that contrib- ute to Improve your quality of life.