ESPU Congress 2018 - Abstract Book

189 11–14 APRIL, 2018, HELSINKI, FINLAND • Night-time: 3 without overnight drainage • Median Functional Capacity:400 mls (300–600 mls) - Further Surgery: • Bladder Calculi: x1 requiring PCCL • Mitrofanoff: 3pts; 3x revisions/3x injections • Revision Neobladder & Monti-Mitrofanoff x1 • Planned renal transplant x2 CONCLUSIONS Neobladder continent reconstruction is a good alternative for patients with unavailable native blad- der with complications similar to those of ileocystoplasty in our hands. 12:56–12:59 S26-3 (PP) STRICTURES OF THE URETEROENTERIC ANSTOMOSIS AND THE COURSE OF RENAL FUNCTION IN THE LONG‑TERM OUTCOME AFTER URINARY DIVERSION USING THE ILEOCECAL SEGMENT IN CHILDREN AND ADOLESCENTS Marina DEUKER  1 , Axel HAFERKAMP  2 and Raimund STEIN  3 1) University Hospital Frankfurt, Urology, Frankfurt, GERMANY - 2) University Hospital Mainz, Mainz, GERMANY - 3) University Medical Center Mannheim, Mannheim, GERMANY PURPOSE Long-term outcomes are of special concern after urinary diversion in children. In a single institution retrospective study we evaluated the long-term outcomes of urinary diversion in children and ado- lescents using the ileocecal segment in regard to the impact on renal function and comparing the course of creatinine from children with strictures of the ureteroenteric anastomosis to those without. MATERIAL AND METHODS Since the implementation of the MAINZ-Pouch, the ileocecal segment was used (minimal follow-up: 5 years) in 125 children for continent urinary diversion. Ureteric implantation was performed whenever possible in an antirefluxive manner. Renal function was evaluated by postoperative creatinine and the course of creatinine was analysed by linear regression. RESULTS Median follow-up was 15.8 years (0,4–28.5years). 17 % (20 patients) developed a total of 34 strictures at the ureteroenteric anastomosis, 8 patients of them had multiple recurrence of ureteroenteric stenoses (up to 5 times). To gain a reliable course of creatinine we evaluated all patients with at least 10 creatinine measure- ments during follow-up. We had 48 children with at least 10 creatinine measurements (range 0–81), among them were 7 children with ureteroenteric stenosis. We evaluated the course of creatinine with linear regression. We found a median linear regression 0,0213 (worsening of renal function) overall. Surprisingly the children that developed a stricture of the ureteroenteric anastomosis were not worse in the course of creatinine (median linear regression 0,0085).