JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 88

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Methods: 200 patients with RPF managed by a multi-disciplinary RPF team since January 2012. 90 patients have
undergone ureterolysis. Prospective analysis of 40 patients
who underwent robotic-assisted laparoscopic ureterolysis
(January 2016 and September 2017), compared with 50
patients who underwent open ureterolysis (Feb 2012 and
January 2016). Data on patient demographics, operative
details and outcomes collected prospectively.
Results: 40 patients underwent robotic ureterolysis, 26
(65%) bilateral, 7 (17.5%) unilateral + contralateral
nephrectomy for non-function, 7 (17.5%) unilateral,

Journal of Clinical Urology 11(1S)
Male=28 Female=12. Median age 58.2 years (range 52-78),
All operations completed robotically. See Table 1 for comparison of indication, operative details, complications and
outcomes between open and robotic ureterolysis.
Conclusion: Robotic-assisted laparoscopic ureterolysis
in a high volume RPF centre appears to be feasible and
safe, with low risk of intra and peri-operative complications. Early stent free rates and renal function are excellent with reduced blood loss and reduced lengths of stay
compared to open ureterolysis. Prospective follow up is
ongoing to determine long term outcomes.

P10-10: Table 1. Comparison of indication, operative details, complications and outcomes between open and robotic ureterolysis.

Bilateral ureterolysis
Unilateral ureterolysis
Indication
Nephrostomy-dependent
Stent failure
Stent symptoms
Pre-emptive / patient choice
Operative details
Median Operative time in mins (range)
Median blood loss in mls (range)
Post-operative stay in days (range)
Additional procedures
Contralateral Nephrectomy for non- function
Abdominal aortic aneurysm repair
Uretero-ureterostomy
Boari flap
Ureteric re-implant
Complications
Clavien I
Clavien II
Clavien III
Clavien IV
Outcomes
Median follow up in months
Nephrostomy free
Stent free
Median % change in GFR

P10-11 The long-term outcome of mitrofanoff
in adults
O'Connor E1, Malide S2, Raja L1, Foley C3, Taylor C2,
Wood D1, Ockrim J1, Greenwell T1
1University College Hospital at Westmoreland Street, London, United
Kingdom, 2Guy's and St Thomas' Hospital, London, United Kingdom,
3Lister Hospital, Stevenage, United Kingdom

Robotic (N=40)

Open (N=50)

26 (65%)
14 (35%)

26 (52%)
24 (48%)

8 (20%)
13 (32%)
15 (38%)
4 (10%)

5 (10%)
20 (40%)
22 (44%)
3 (6%)

200 (90-340)
40 (10-200)
2 (1-10)
N=9
7 (18%)
2 (5%)
N=5 (12%)
1 (2%)
2 (4%)
2 (4%)
0 (0%)

200 (120-300)
390 (20-1200)
8 (3-21)
N=11
7 (14%)
1 (2%)
1 (2%)
1 (2%)
1 (2%)
N=13 (26%)
1 (2%)
6 (12%)
4 (8%)
2 (4%)

8 (3-22)
8/8 (100%)
38/40 (96%)*
+10% (-14 to + 38)**

26 (20-66)
5/5 (100%)
47/50 (94%)
+6% (-4 to +22)

Introduction: Outcomes in adult Mitrofanoff patients
are largely unknown. Revision rates of up to 50% have
been reported in children and 85% in adults.
Patients and Methods: We performed a retrospective
case note review of 176 consecutive adult patients (median
age 42 years) having Mitrofanoff channel formation a
median of 142 months (range 54-386) ago. We evaluated



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

Contents
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