ESPU Congress 2018 - Abstract Book

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234 29th CONGRESS OF THE ESPU
10:00–10:10
S5-2 (LO)
THE ANALYSIS OF URODYNAMIC STUDY OF CHILDREN
WITH FILUM TERMINALE LIPOMA
Sang Hee SHIN1, Yoon Hye JI2, Sang Woon KIM3 , Yong Seung LEE3 and Sang Won
HAN3
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.