408 CONTINENT CUTANEOUS URINARY RESERVOIR USING THE SEROUS LINED EXTRAMURAL VALVE: FUNCTIONAL OUTCOME

408 CONTINENT CUTANEOUS URINARY RESERVOIR USING THE SEROUS LINED EXTRAMURAL VALVE: FUNCTIONAL OUTCOME

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408

CONTINENT CUTANEOUS URINARY RESERVOIR USING THE SEROUS LINED EXTRAMURAL VALVE: FUNCTIONAL OUTCOME

(OVKDO$0$EROHQHLQ+.DPDO00RVEDK$2$EGHOODWLI0*KRQHLP0$ Mansoura Urology and Nephrology Centre, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: )XQFWLRQDO HYDOXDWLRQ RI FRQWLQHQW UHVHUYRLU XVLQJ VHURXVOLQHGH[WUDPXUDOYDOYHDVDFRQWLQHQWXULQDU\RXWOHW Material & Methods: :H UHYLHZHG WKH UHSRUWV RI DOO SDWLHQWV ZKR XQGHUZHQW FRQWLQHQW FDWKHWHUL]DEOH VWRPDV XVLQJ VHURXV OLQHG H[WUDPXUDO WHFKQLTXH DW RXU FHQWUHEHWZHHQ0D\DQG0DUFK7KH3DWLHQWVಬUHFRUGVZHUHUHYLHZHG IRUDJHVH[LQGLFDWLRQRIVXUJHU\VXUJLFDOGHWDLOVDQGSRVWRSHUDWLYHFRXUVH$OO SDWLHQWVZHUHHYDOXDWHGIRUFRQWLQHQFHZLWKHPSKDVLVRQIUHTXHQF\RI&,&XSSHU WUDFW VWDWXV PHWDEROLF FKDQJHV FRPSOLFDWLRQV DQG QHHG IRU UHRSHUWDWLRQ 7KH\ DOVRUHSOLHG+RPHPDGHTXDOLW\RIOLIHTXHVWLRQQDLUH8URG\QDPLFHYDOXDWLRQZDV GRQHIRUDOOSDWLHQWVZLWKOHDNLQJVWRPD Results: %HWZHHQ0D\DQG0DUFKDWRWDORISDWLHQWVXQGHUZHQW FRQWLQHQW FDWKHWHUL]DEOH VWRPDV XVLQJ VHURXV OLQHG H[WUDPXUDO WHFKQLTXH 7KH WHFKQLTXH HQWDLOHG FRQVWUXFWLRQ RI D GHWXEXODUL]HG :VKDSHG LOHDO UHVHUYRLU ZLWK  VHURXV OLQHG WURXJKV RQH IRU UHᚐ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onclusions: 6HURXV OLQHG XQLGLUHFWLRQDO YDOYH LV UHOLDEOH GXUDEOH DQG HᚑFLHQW FRQWLQHQFHPHFKDQLVPZLWKDFFHSWDEOHFRPSOLFDWLRQUDWHDQGLVDVVRFLDWHGZLWK JRRGIXQFWLRQDOUHVXOWVDQGVLJQLᚏFDQWSRVLWLYHLPSDFWRQSDWLHQWVCOLIHTXDOLW\

409

Y-NEOBLADDER: AN ITALIAN MULTI-INSTITUTIONAL RETROSPECTIVE STUDY

'HVWHIDQLV3%RVLR$&DUFKHGL01HJUR&)DVROLV*%HOOLQD0 0DUL0)UHD%7HUURQH&0RUJLD*&DUULHUL*0DᚎH]]LQL0 )RQWDQD' 1 Ospedale San Giovanni Battista Molinette, Dept. of Urology 2, Turin, Italy, 2 Ospedale San Lazzaro, Dept. of Urology, Alba, Italy, 3Ospedale Di Rivoli, Dept. of Urology, Rivoli, Italy, 4Ospedale Santa Maria Della Misericordia, Dept. of Urology, Udine, Italy, 5Ospedale Maggiore Della Carità, Dept. of Urology, Novara, Italy, 6Ospedale Policlinico G. Martino, Dept. of Urology, Messina, Italy, 7Ospedali Riuniti, Dept. of Urology, Foggia, Italy, 8Ospedale Galliera, Dept. of Urology, Genova, Italy Introduction & Objectives: 'XULQJWKHSDVW\HDUVJUHDWHUDWWHQWLRQWRWKHTXDOLW\ RI OLIH KDV SURPSWHG ZLGHU XVH RI RUWKRWRSLF QHREODGGHUV LQ SDWLHQWV XQGHUJRLQJ UDGLFDOF\VWHFWRP\IRUEODGGHUFDUFLQRPD1HYHUWKHOHVVGHVSLWHLPSURYHGVXUJLFDO WHFKQLTXHVVRPHSUREOHPVFRQFHUQLQJRUWKRWRSLFQHREODGGHUVKDYHQRW\HWEHHQ VROYHGLQSDUWLFXODUVWULFWXUHVRIWKHXUHWHUDOHQWHUDODQDVWRPRVLV,QWKHODVWಬV ZHSURSRVHGDQHZNLQGRILOHDORUWKRWRSLFUHVHUYRLUWKH<QHREODGGHUSURYHGWR EHHDV\DQGIDVWWRFUHDWHWRSURYLGHJRRGIXQFWLRQDOUHVXOWVDQGWRKDYHDYHU\ ORZLQFLGHQFHRIVWULFWXUHVRIXUHWHUDOQHREODGGHUDQDVWRPRVLV,QRUGHUWRFRQᚏUP WKRVHᚏUVWUHVXOWVZHFRQGXFWHGDUHWURVSHFWLYHPXOWLLQVWLWXWLRQDOVWXG\ Material & Methods: (LJKWGLᚎHUHQW8URORJLF'HSDUWPHQWVSURYLGHGWKHGDWDRIDOO WKHLUSDWLHQWVಬXQGHUJRQHUDGLFDOF\VWHFWRP\IROORZHGE\EODGGHUVXEVWLWXWLRQZLWK <QHREODGGHU 7KH PDLQ VWHSV RI VXUJLFDO WHFKQLTXH ZHUH SUHYLRXVO\ SXEOLVKHG 7KH IROORZLQJ SDUDPHWHUV ZHUH UHWURVSHFWLYHO\ UHYLHZHG LQGLFDWLRQ IRU UDGLFDO F\VWHFWRP\VXUJHU\QRWHVHDUO\DQGODWHFRPSOLFDWLRQVGDWDDERXWPLFWXULWLRQV FRQWLQHQFHDQGVHOIFDWKHWHULVPDQGRQFRORJLFIROORZXS&RQWLQHQFHZDVGHᚏQHG JRRG LI QR XVH RI SDGV ZDV UHFRUGHG VDWLVIDFWRU\ IRU  SDG XQVDWLVIDFWRU\ !  SDGV6WDWLVWLFDODQDO\VLVZDVSHUIRUPHGWKURXJKD3&VRIWZDUH Results: &RPSOHWHGDWDZHUHDYDLODEOHIRUSDWLHQWVXQGHUJRQHWKHSURFHGXUH EHWZHHQ-DQXDU\DQG-XQH7KHPHDQDJHZDV\HDUV2QH KXQGUHGDQGVL[W\VL[SDWLHQWVZHUHPDOHZKLOHZHUHIHPDOH7KHPHDQIROORZ XSZDVPRQWKV UDQJH 7KHLQGLFDWLRQWRUDGLFDOF\VWHFWRP\ZDVJLYHQ

Eur Urol Suppl 2010;9(2):150

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410

ILEAL-CONDUIT - VS COLONIC-CONDUIT – A MATCHEDPAIR ANALYSIS

6WHLQ56FKU¸GHU$+DJHQ77K¾URᚎ-: University Medical Center of the Johannes Gutenberg University Mainz, Dept. of Urology, Mainz, Germany Introduction & Objectives: ,OHDO DQG FRORQLF FRQGXLWV KDYH EHHQ XVHG IRU LQFRQWLQHQWXULQDU\GLYHUVLRQDWRXULQVWLWXWLRQIRUPRUHWKDQ\HDUV,QHDUOLHU\HDUV FRORQLF VHJPHQWV ZHUH SUHIHUUHG ZKLOH QRZDGD\V WKH LOHDO FRQGXLW LV SUHIHUDEO\ XVHG LQDGXOWV ,QDUHWURVSHFWLYHVWXG\ZHDQDO\]HGRXUORQJWHUPRXWFRPHDQG FRPSDUHGWKHORQJWHUPUHVXOWVRIWKHWZRW\SHVRIFRQGXLWGLYHUVLRQ Material & Methods: %HWZHHQDQGSDWLHQWVZLWKLQYDVLYHEODGGHU FDQFHUUHFHLYHGDQLQFRQWLQHQWXULQDU\GLYHUVLRQSDWLHQWVZLWKDVLJPRLGFRQGXLW DQGZLWKDQLOHDOFRQGXLWFRXOGEHIROORZHGIRUPRUHWKDQ\HDUV PHGLDQ PRQWKVIRUVLJPRLGFRQGXLWDQGPRQWKVIRULOHDOFRQGXLW ,QDPDWFKHGSDLUV DQDO\VLVZHFRPSDUHGSDWLHQWVZLWKWKHVDPHDJHDWRSHUDWLRQVDPHJHQGHUDQG VDPHIROORZXSSHULRG Results: PDWFKHGSDLUV IHPDOHDQGPDOHVSHUJURXS IXOᚏOOHGWKHFULWHULD 7KHPHDQDJHDWVXUJHU\ZDV\HDUV ದ\UV LQSDWLHQWVZLWKLOHDOFRQGXLW DQG\HDUV ದ\UV LQSDWLHQWVZLWKVLJPRLGFRQGXLW&RPSOLFDWLRQVXSSHU WUDFWVWRQHVLOHXP  VLJPRLG  XUHWHUVWHQRVLVLOHXP  VLJPRLG  XULQDU\ WUDFW LQIHFWLRQ LOHXP   VLJPRLG   LQFLVLRQDO KHUQLD LOHXP   VLJPRLG   ERZHO REVWUXFWLRQ LOHXP   VLJPRLG   VWRPDO FRPSOLFDWLRQ LOHXP   VLJPRLG  SDUDVWRPDOKHUQLDLOHXP  VLJPRLG  SDWLHQWVZLWKLOHDOFRQGXLWDQG SDWLHQWVZLWKFRORQLFFRQGXLWKDGODWHFRPSOLFDWLRQVUHTXLULQJUHRSHUDWLRQLQ ZLWKDQLOHDOFRQGXLWDQGZLWKDFRORQLFFRQGXLW Conclusions: :H REVHUYHG DFFHSWDEOH FRPSOLFDWLRQ UDWHV ZLWK QR VWDWLVWLFDOO\ VLJQLᚏFDQW GLᚎHUHQFHV EHWZHHQ VLJPRLG DQG LOHDO FRQGXLW GLYHUVLRQ +RZHYHU SDUDVWRPDO KHUQLDV ZHUH PRUH VHHQ LQ LOHDO FRQGXLWV DV FRPSDUHG WR FRORQLF FRQGXLWV7KHUHRSHUDWLRQUDWHUHYHDOHGDWUHQGWRZDUGVDGLVDGYDQWDJHRILOHDO FRQGXLWV  YV   $ SURVSHFWLYH UDQGRPL]HG VWXG\ LV UHTXLUHG WR FODULI\ GLᚎHUHQFHVEHWZHHQERWKW\SHVRIFRQGXLWXULQDU\GLYHUVLRQ

411

QUALITY OF LIFE AFTER A MITROFANOFF CONTINENT URINARY DIVERSION

+DGM6OLPHQ0.HWDWD+&KDEFKRXE.)RXUDWL0)DNKIDNK65HEDL1 )DNKIDNK+%DKORXO$0KLUL01 Habib Bourguiba Hospital, Dept. of Urology, Sfax, Tunisia Introduction & Objectives: 7R HYDOXDWH WKH SV\FKRORJLFDO UHSHUFXVVLRQV DQG WKHGHJUHHRIDGDSWDWLRQRISDWLHQWVZLWKD0LWURIDQRᚎFRQWLQHQWH[WHUQDOXULQDU\ GLYHUVLRQLQWKHLUGDLO\OLYLQJFRQGLWLRQV Material & Methods: %HWZHHQDQGSDWLHQWVXQGHUZHQWFRQWLQHQW XULQDU\GLYHUVLRQXVLQJ0LWURIDQRᚎSURFHGXUHLQRXULQVWLWXWLRQSDWLHQWV   ZHUHTXHVWLRQHGDERXWWKHLUGLYHUVLRQUHJDUGLQJWRWKHLUOLYLQJFRQGLWLRQV:HXVHG DVHOIDGPLQLVWHUHGTXHVWLRQQDLUHRILWHPVWUDQVODWHGLQWKHLUVSRNHQODQJXDJH 7KHPHDQDJHZDV\HDUV UDQJHWR\HDUV 7KHLQGLFDWLRQIRUWKHGLYHUVLRQ ZDVPDLQO\DQHXURORJLFDOGLVHDVH   Results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onclusions: 7KH0LWURIDQRᚎ XULQDU\GLYHUVLRQ DOORZVEHWWHUIDPLOLDO VRFLDO DQG SURIHVVLRQDODSSURYDOE\SDWLHQWVWKDQRWKHUQRQFRQWLQHQWGLYHUVLRQSURFHGXUHV LWDOORZVJRRGUHKDELOLWDWLRQSURYLGHGWKHSDWLHQWVHVSHFLDOO\FKLOGUHQDGKHUHWR WKHLUQHZGLYHUVLRQPDQDJHPHQWVFKHPH