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11–14 APRIL, 2018, HELSINKI, FINLAND
10:10–10:20
S5-3 (LO)
THE EARLY OUTCOMES OF THE ADVANCETM MALE SLING
SYSTEM FOR PAEDIATRIC INCONTINENCE IN CHILDREN
WITH SPINA BIFIDA
Gavish MUNBAUHAL, Alexander TURNER, Junaid ASHRAF and Ramnath
SUBRAMANIAM
Leeds General Infirmary, Paediatric Urology, Leeds, UNITED KINGDOM
INTRODUCTION
Established in the management of adult stress incontinence, the sling is a minimally invasive op-
tion aiming at increasing bladder outlet resistance. We qualitatively assessed the AdVance
TM
male
urethral sling as a primary intervention in children with spina bifida.
METHODS
Four boys (Median age 10; Range 7–15) with spina bifida and no prior bladder neck surgery
received an AdVance
TM
sling between 2009 and 2016, for constant urinary leakage. We assessed
the number of pad changes and subjective patient satisfaction using the International Consultation
on Incontinence-Short Form (ICIQ-SF).
RESULTS
Median
Follow-up
(months)
Daytime
Night-time
Wet
Mainly
Dry
Dry
Free-
drainange
Wet
Mainly
Dry
Dry
Free-
drainange
12
1
2
1
0
1
1
1
1
40 (14-71)
0
2
2
0
2
0
2
0
Reported leak status is shown in the above table. Median pad use was 2.5 (Range 1–4) and
subjective improvement was 50–70 % in three cases and 85–90 % in once case. 75 % of patients
scored ≤5 on the 10-point ICIQ-SF scale assessing the interference of urinary leakage in everyday
life.
CONCLUSIONS
Our results highlight the potential of the sling as a minimally invasive alternative to bladder neck
surgery. We believe its success to be highly dependent on compliance with intermittent catheterisa-
tion and the absence of significant comorbidity.
10:20–10:30
S5-4 (LO)
EXPERIENCE OF CONTINENCE CARE WITH PATIENTS
AFTER PRENATAL MYELOMENINGOCELE (MMC) REPAIR
Anna GIAMBONINI
University Children's Hospital Zurich, APN Continence, Zurich, SWITZERLAND
PURPOSE
The purpose of this presentation is to describe our experience in management of continence care
with families after fetal surgery repair of myelomeningocele (MMC).