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11–14 APRIL, 2018, HELSINKI, FINLAND
S26: AUGMENTATION / DIVERSION
Moderators: Raimund Stein (Germany), Mark Cain (USA)
ESPU Meeting on Saturday 14, April 2018, 12:48–13:36
12:48–12:53
S26-1 (LO)
★
DEMUCOSALIZED SIGMOID BLADDER AUGMENTATION
AND THE REDUCTION OF MUCUS: A COMPARATIVE
INTERNATIONAL MULTICENTRIC PROSPECTIVE STUDY
Ricardo ZUBIETA
1
, Juan Pablo CORBETA
2
, Pedro Jose LOPEZ
1
, Francisco REED
1
,
Francisca YANKOVIC
1
, Alejandra RIOS
1
, Juan Carlos LOPEZ
2
and Nelly LETELIER
1
1) Hospital exequiel Gonzalez Cortes & Universidad de Chile, Paediatric Urology, Santiago De Chile, CHILE -
2) HOSPITAL GARRAHAN, Paediatric Urology, Buenos Aires, ARGENTINA
PURPOSE
For the last 25 years our center have been performing demucosalized sigmoid enterocistoplasty to
our patients. It seems that this technique offers a better outcome because it might be is associated
with less mucus production avoiding its associated complications. The aim of this study was to
compare mucus production after enterocistoplasty with or without removing mucosa in two groups
of patients.
MATERIAL AND METHODS
With ethical committee approval a comparative prospective study of mucus production in two
different groups of patients following an enterocistoplasty was done. All patients had more than
5 years follow-up. Patients presenting with recurrent urinary tract infection were excluded. Group
"A" included patients with ileocistoplasty and non-demucosalized colon and group "B" patients with
demucosalized sigmoid. First morning urine was taken through urethral catheterization or through
urinary continent derivation. In a wintrobe tube, 10 cc of urine were centrifuged at 2500 rpm for
10 minutes. A blinded microscopic analysis with mucus quantification and statistic analysis between
both groups was made.
RESULTS
Seventy patients were included in this study (52 Group A and 18 Group B). Mucus amount for
Group B was statistically lower (p=0.0061; CI 95 %). It is also highlighted, that all patients treated in
Group A need daily bladder washout compared with patients from Group B whom did not performed
bladder washouts.
CONCLUSIONS
A lower mucus amount and production in patients with demucosalized sigmoid enterocistoplasty
was confirmed. This technique might offer a better long-term outcome, reducing mucus-related
complications; i.e. stones formation and UTI.