ESPU Congress 2018 - Abstract Book

57 11–14 APRIL, 2018, HELSINKI, FINLAND MATERIAL AND METHODS 334 renal units with regular clinical follow-up who were treated due to VUR (vesicoureteral reflux) between years 2009–2017 were retrospectively reviewed. Preoperative clinical parameters as grade and laterality of reflux, presence of renal scar, initial and follow-up treatments, findings of medical treatment and surgical procedures were analysed. The initial medical and surgical methods were compared by categorizing patients according to risk groups before and after 2013. RESULTS Mean age and follow-up duration were 71,4(6–216)months and 47(4–141) months, respec- tively. VUR gradings of the preoperative voiding cystourethrography were determined as grade 1 in 3(0,9 %),grade 2 in 29(8,7 %),grade 3 in 173(51,8 %),grade 4 in 94(28,1 %) and grade 5 in 35(10,5 %) patients. We have noticed significant decrease of surgical treatment rates in low risk group after 2013. While no significant difference in medical and surgical treatment rates is observed after risk grouping system in low risk group, the percents of patients who are treated with surgical methods initially were significantly decreased in moderate and high risk groups (p:0,002,p:0,012). (Table). Table: Distribution of EAU/ESPU VUR classification according to initial treatments. EAU/ESPU VUR Grouping Medical Treatment(%) Surgical Treatment(%) p value Low risk Before 2013 15(26,8) 41(73,2) 0.179 After 2013 4(50) 4(50) Moderate risk Before 2013 44(30,1) 102(69,9) 0.002 After 2013 20(58,8) 14(41,2) High risk Before 2013 20(26,7) 55(73,3) 0.012 After 2013 9(60) 6 (40) Total 112(33) 222(67) CONCLUSIONS EAU/ESPU VUR risk grouping system have changed our current practice. This difference caused us to prefer more conservative methods as initial treatment in all risk groups. 09:01–09:04 S5-5 (PP) [PRESENTATION GROUPED WITH PREVIOUS] HOW DID OUR TREATMENTS BEFORE AND AFTER EAU/ESPU VUR RISK GROUPING SYSTEM AFFECT OUR EARLY SUCCESS RATES? Eda TOKAT  1 , Serhat GUROCAK  1 , Iyimser URE  2 , Cenk ACAR  3 , Zafer SINIK  4 and Ozgur TAN  1 1) Gazi University School of Medicine, Department of Urology, Section of Paediatric Urology, Ankara, TURKEY - 2) Eskisehir Osmangazi University School Of Medicine, Department of Urology, Eskisehir, TURKEY - 3) Eryaman Hospital, Department of Urology, Ankara, TURKEY - 4) Odak Hospital, Department of Urology, Denizli, TURKEY PURPOSE To compare the early clinical results of treatments performed before and after EAU/ESPU VUR classification due to vesicoureteral reflux.