Characteristics of leakage from catheterizable channels. can the underlying ethiology determine the onset of the symptom and predict management?

You have accessJournal of UrologyCME1 Apr 2023MP53-09 CHARACTERISTICS OF LEAKAGE FROM CATHETERIZABLE CHANNELS. CAN THE UNDERLYING ETHIOLOGY DETERMINE THE ONSET OF THE SYMPTOM AND PREDICT MANAGEMENT? Ezel Aydoğ, Efe Semetey Oğuz, Alkan Oktar, Mehmet Fatih Özkaya, Elif İpek Aksoy, Tarkan Soygür, and Berk Burgu Ezel AydoğEzel Aydoğ More articles by this author , Efe Semetey OğuzEfe Semetey Oğuz More articles by this author , Alkan OktarAlkan Oktar More articles by this author , Mehmet Fatih ÖzkayaMehmet Fatih Özkaya More articles by this author , Elif İpek AksoyElif İpek Aksoy More articles by this author , Tarkan SoygürTarkan Soygür More articles by this author , and Berk BurguBerk Burgu More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003301.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: (Double) Monti and Mitrofanoff procedures, are the current standart for continent catheterizable channels in our daily practice. We specifically examined the post operative onset time, underlying reason and management of stomal incontinence. METHODS: Patients that underwent aforementioned procedures and were compliant on follow-ups, between Jan-2000 and Dec-2022 (n=143), were included in the study. All patients had been followed at 1st, 3rd, 6th months and then annually. Depending on the onset time of stomal incontinence, patients were categorized into 3 groups (very-early-leak: 0-6 months, early-leak: 6-24 months, late-leak: 24 months). RESULTS: 13% of the patients (N=19) had very-early-leak. All of them are initially followed with anticholinergics. 89% of them (N=17) were continent after 2 months without drugs. Remaining 2 patients were continent after bulking agent injection. 6.2% of the patients had an early-leak (N=9. They were treated initially with anticholinergic medication. The medical treatment was successful only for 11% of patients (N=1). Other 8 patients were treated with injection resulting in total continence for 7 of them. Injection was not successful for 1 patient at first month of follow-up, who later underwent a surgical correction (N=1). Late-leak was seen in 3% of patients (N=4). Among those, 1 of them was non-compliant with the CIC schedule, and subsequently had no complaints after compliance. Other 3 patients were leak-free with chronic usage of anticholinergic medications. The success rates of treatment modalities were significantly different in 3 groups. (p<0.05). CONCLUSIONS: Very-early-leak is mainly caused by the ongoing adaptation of the augmented bladder and likely to resolve spontaneously. Early-leak does not initially respond to anticholinergic medication and more likely to indicate an endoscopic intervention. Late-leak is caused by non-compliance to CIC or later diminished bladder capacity, both of which can be treated without any surgical intervention. Source of Funding: Ankara University © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e715 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ezel Aydoğ More articles by this author Efe Semetey Oğuz More articles by this author Alkan Oktar More articles by this author Mehmet Fatih Özkaya More articles by this author Elif İpek Aksoy More articles by this author Tarkan Soygür More articles by this author Berk Burgu More articles by this author Expand All Advertisement PDF downloadLoading ...