JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 56

P5-13: Figure 1

Journal of Clinical Urology 11(1S)
All patients underwent preoperative urodynamics which
demonstrated SUI and completed pre- and post-op ICIQ
questionnaires. 6 patients had had previous intervention for
SUI and 5 were on treatment for neuropathic overactivity
preoperatively.
Results: Median length of stay was 2.5 days. 7 patients had
a concurrent procedure and 3 required intraoperative
repositioning of sling. 1 patient returned to theatre for
washout of haematoma. All patients were dependent on
catheterisation as expected (4 with SPC and 7 doing ISC).
2 patients developed de novo overactivity. Mean ICIQ
score decreased from 17 to 0. Mean pad usage decreased
from 5 pads per day to 0 pads per day with 8 patients
completely dry. The 3 patients with sacral pressure ulcers
were completely dry and therefore proceeded to definitive management of their sores.
Conclusion: Autologous fascial sling insertion in our unit
had excellent results with acceptable complication rates;
all patients had an improvement in symptoms and a
decrease in pad usage.
P5-15 Bladder neck artificial urinary sphincter
(BN AUS) for recurrent urodynamically
proven stress urinary incontinence and
mixed urinary incontinence - outcomes of
implantation
Benamer D1, O'Connor E1, Andrich D1, Ockrim J1,
Greenwell T1, Mundy A1
1University College Hospital at Westmoreland Street, London, United
Kingdom

P5-13: Figure 2

P5-14 Efficacy of the autologous fascial sling
in the neuropathic population
Downey A1, Reid S1
1Princess Royal Spinal Injuries Unit, Sheffield, United Kingdom

Introduction: Neuropathic stress urinary incontinence
is a common and debilitating problem; particularly in
severely disabled patients with sacral pressure sores. NICE
recommends insertion of autologous fascial sling over synthetic tapes due to the risk of urethral erosion. We performed a retrospective review of patients undergoing AFS
in a single specialised centre to assess outcomes.
Patients and Methods: 14 patients were identified with a
median age of 47 (range 19-80). 11 had a spinal cord injury
and 3 a supra-pontine condition. 3 patients had severe
sacral pressure ulcers complicated by severe incontinence.

Introduction: To assess the outcome of BN AUS insertion for recurrent or complex primary urodynamically
proven stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (MUI).
Patients and Methods: We retrospectively reviewed a
prospectively collected database of women having BN
AUS implantation by two surgeons for SUI and MUI. The
type and aetiology of the incontinence, previous surgery,
the type of procedure and the outcome in terms of cure
and complications were recorded.
Results: 50 women with median age 50.5 years (range
27-69) had BN AUS implantation, as above, between 2006
and 2016. Of these, 34 had primary implants, 12 had a
device replacement following mechanical failure and 4 had
a new implant following previous explantation of an earlier
device for erosion. The aetiology was neurological in 17,
recurrent stress urinary incontinence in 16, epispadias in
6, pelvic fracture urethral injury in 4, bilateral single ectopic
ureter in 3, urethrovaginal fistula in 1, augmentation urethroplasty in 1, congenital Mullerian anomaly in 1 and undiversion in 1. 43 had had previous surgery including
cystoplasty, undiversion, urethroplasty, urethrovaginal fistula repair and anti-incontinence surgery. The results and
complications are listed in the table below.

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