ESPU Congress 2018 - Abstract Book

234 29 th CONGRESS OF THE ESPU 10:00–10:10 S5-2 (LO) THE ANALYSIS OF URODYNAMIC STUDY OF CHILDREN WITH FILUM TERMINALE LIPOMA Sang Hee SHIN  1 , Yoon Hye JI  2 , Sang Woon KIM  3 , Yong Seung LEE  3 and Sang Won HAN  3 1) Severance Children's Hospital, Yonsei university Health System, Department of pediatric urology (Bladder-urethral rehabilitation clinic), Seoul, REPUBLIC OF KOREA - 2) Severance Children's Hospital, Yonsei University Health System, Department of Urology (Bladder-urethral Rehabilitation Clinic), Seoul, REPUBLIC OF KOREA - 3) Urological Science Institute, Yonsei University of College of Medicine, Department of Urology, Seoul, REPUBLIC OF KOREA PURPOSE Filum terminale lipoma(FTL) is a congenital spinal anomaly that can cause tethered cord syndrome. It is generally known that about 50 % patients improve their symptoms after surgery in symptomatic FTL patients. Purpose of this study was to evaluate parameters of urodynamic study(UDS) and presence of urologic symptoms before and after surgery for FTL. MATERIAL AND METHODS The records of patients who were diagnosed with FTL between November 2005 and august 2016 were analyzed for motivator of diagnosis, associated malformations, symptoms and results of UDS. Compliance, bladder volume, detrusor activity and vesico-sphincteric synergy were identified, graded, and added to obtain a UDS score (Meyrat et al. Childs Nerv Syst 2003;19:716–721). RESULTS From 353 patients who were diagnosed with FTL, 138 patients had associated malformation such as hypospadias, imperforated anus and cloacal anomaly. The 104(55.6 %) of 187 patients who undergone surgery were males. Mean age at surgery was 20(1–235) months. Motivator of diagnosis and mean age at surgery were as follows: Dimple were 91.4 % and 11.2(1–109)months, urological symptoms were 2.6 % and 76(35–103)months and musculoskeletal symptoms were 5.9 % and 131(31–235)months. UDS score before and after surgery was 3.7 and 2.3. There was a significant decrease between before and after surgery (p was less than 0.001). Of 5 patients with urologic symptom, 3 patients showed partial improvement and 2 patients showed failure of improving symptoms. CONCLUSIONS 187 patients undergone FTL surgery showed good clinical progress and had no complications. Patients undergone surgery after developing symptoms were older than patients who diagnosed by dimple and most of their symptoms did not improved.