ESPU Congress 2018 - Abstract Book

85 11–14 APRIL, 2018, HELSINKI, FINLAND MATERIAL AND METHODS Questionnaires concerning male fertility and erectile function (IIEF-5 questionnaire) were mailed three times to 74 men, who had been treated for spermatic cord torsion (SCT) as well as to 92 con- trols treated for torsion of testicular appendage (TAT) in 1977–1995 and who were currently older than 30 years. RESULTS 35/74 (47 %) of SCT patients and 58/92 (63 %) of the TAT patients responded. The median age at investigation was 41 (IQR 36–46) within the SCT group and 41 (IQR 38–46) years in the control group, p=0,814. The paternity rate was 23/35 (66 %) in the SCT group and 26/34 (76 %) in the controls, p=0.43. Within 30–50 year old SCT patients, 9/16 (56 %) had children after orchiectomy and 13/16 (81 %) after detorsion (p=0.252). IIF-5 total score was lower in SCT patients than in the controls; median 24 (IQR 22–25) vs 25 (IQR 24–25), p=0.020. Especially significant the difference was in confidence to get and keep an erec- tion (Q 1), p=0.005. However, significant or moderate erectile dysfunction (score <12) was rare in both groups (3/32 (9 %) in the patients and 1/35 (3 %) in the controls, p=0.342. CONCLUSIONS Paternity rate was similar on SCT patients and the controls. Neither the type of surgery (orchiectomy vs. detorsion) affected paternity rates. Erectile function scores were somewhat better in the controls. However, moderate and significant erectile dysfunction was rare in both groups. 14:26–14:29 S9-6 (PP) SURGICAL OUTCOME IN NEWLY TRAINED GENERAL PRACTITIONER FOR MALE INFANT CIRCUMCISION BY PLASTIBELL DEVICE IN A COMMUNITY CLINIC Abdul Rauf KHAN  1 , Mohammed Ruhul AMIN  2 , Darrel GREGORY  2 , Shabir MERALI  2 and Murtaza KHANBHAI  2 1) Thornhill Circumcision Centre, Paediatric Surgery, Luton, UNITED KINGDOM - 2) Thornhill Circumcision Centre, GP surgery, Luton, UNITED KINGDOM PURPOSE Male infant circumcision (MIC) is performed across the country by many General Practitioners (GP). There is no national MIC training centre for newly qualified GPs. Our aim is to review the surgical outcome in a newly trained GP at our centre as compared to experienced GPs for MIC by Plastibell device to validate our training program. MATERIAL AND METHODS We reviewed the surgical outcome of MIC conducted by experienced GPs (eGP) and newly trained GP (nGP) over a 1 year period (May 2016 to April 2017). A GP was trained in our centre (MIC was observed n=10, assisted n=20 and performed under supervision n=15) by modified WHO MIC training course for 9 weeks before study began. The nGP received mentoring during the study but otherwise performed MIC independently. Data was collected prospectively and early postopera- tive complications were compared between nGP and two eGPs who have performed more than 2000 MICs. Follow-up was arranged if required.