JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 89

Abstracts

89

outcome in terms of continued use, continence, stones,
need for endoscopic and / or open revision.We correlated
these outcomes with indication for Mitrofanoff formation.
Statistical analysis was by Chi Squared analysis.
Results: The 176 patients had a median of 51.5 months
(range 2-293) follow-up (FU) available. Outcomes at last
FU are listed in Table 1.
Conclusion: Mitrofanoff formation was successful (used
by patient and continent) in 77% of adult patients at the
expense of stone development in 19%, a 49% endoscopic
and a 39% open revision rate. Stone development rate was
highest in patients with congenital aetiology whilst revision rates were highest in patients with complex incontinence aetiology. Persistent usage was lowest in patients
with neuropathic aetiology.
P10-12 Appendix or ileum - which is the best
material for mitrofanoff channel formation?
O'connor E1, Malde 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' NHS Foundation Trust, London,
United Kingdom, 3Lister Hospital Stevenage, United Kingdom

Introduction: The appendix is reported to have better
outcomes when used as a Mitrofanoff channel than ileum
in children. Outcomes in adult Mitrofanoff patients are
largely unknown.
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
outcome in terms continued use and continence for each
type of material used for channel formation. Ileal channels
were evaluated both as one type of channel material and
separately as single and double ileal channels.
Statistical analysis was by Chi Squared analysis.
Results: The 176 patients had a median of 51.5 months
(range 2-293) follow-up (FU) available. At time of this
review 89 (51%) patients were alive. At time of last FU
77% of channels were in use and 77% were continent.
Outcomes at last clinic FU are listed in Table 1.
Conclusion: There was no significant differences in outcomes in terms of usage at last follow up between any of
the material used to make Mitrofanoff channels. Patients
were significantly more likely to have continence issues if
channels were made out of ileum. Appendix should be the
first choice for Mitrofanoff channel formation in adults.

P10-12: Table 1
Channel

N (%)

Median Age (Range)

Median FU (Range)

In Use at Last FU

Dry at Last FU

Appendix
Ileum (Single + Double)
Single Ileum
Double Ileum
Ureter
Other
Unknown

81 (46%)
71 (40%)
33 (19%)
38 (22%)
7 (4%)
10 (6%)
7 (4%)

36 (14-73)
45 (15-71)
45 (18-71)
43 (15-68)
42 (35-60)
42 (23-60)
49 (23-60)

57 (2-238)
60 (2-234)
66 (4-234)
56 (2-232)
175 (14-293)
65.5 (51-150)
50 (40-122)

65/81 (80%)
50/71 (68%)
23 /33 (70%)
28/38 (74%)
6/6 (100%)
6/10 (60%)
5/6 (83%)

65 /81 (80%)*
47/71 (64%)
25/33 (76%)
23/38 (61%)*
6/6 (100%)
8/10 (80%)
5/6 (83%)

ŃP < 0.05

P10-13 Outcomes of surgery for treatment
refractory bladder pain syndrome / interstitial
cystitis
Downey A1, Osman N1, Park J1, Mangera A1, Inman R1,
Reid S1, Chapple C1
1Royal Hallamshire Hospital, Sheffield, United Kingdom

Background: Bladder pain syndrome/interstitial cystitis
(BPS/IC) is a chronic debilitating condition with the majority of treatment options medical. Surgery is reserved for
treatment refractory patients however the optimum procedure is not defined. We describe the outcomes of
reconstructive surgery for BPS/IC in our centre.
Patients and Methods: A retrospective review of prospective data on patients undergoing surgery for BPS/IC in

a single tertiary referral centre from 2007-2017 was performed. Data collected included preoperative investigations/treatments, surgical approach, complications and
outcomes.
Results: 34 patients were identified (15 male, 19 female).
Median age was 50. Mean pre-operative symptom duration was 6.4 years and all were considered treatment
refractory. Median nocturia episodes was 6 and median
daytime frequency was 1 hourly. Mean pre-op maximum
anaesthetic bladder capacity was 483.3ml. 23 patients
underwent cystectomy & ileal conduit formation (67.6%),
4 cystectomy & neobladder formation (11.8%) and 7 subtotal cystectomy & ileocystoplasty (20.6%). Clavien-Dindo
grade III-V complications occurred in 4 patients (10.8%)
with 1 90-day mortality. Median follow-up was 32 months.
22 patients (64.7%) were considered cured i.e. no pain.



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