ESPU Congress 2018 - Abstract Book

235 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).