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S23-8

(P)

LIVING WITH AN AUGMENTED BLADDER: THE EXPERIENCES OF YOUNG PEOPLE

FOLLOWING THEIR SURGERY.

Sarah DOYLE

1

, Bernie CARTER

2

, Lucy BRAY

3

and Caroline SANDERS

4

1) Alder Hey NHS Foundation Trust, Department of Surgery, Liverpool, UNITED KINGDOM - 2) University of Central

Lancashire & Alder Hey NHS Foundation Trust, School of Health & Children's Nursing Research Unit, Preston, UNITED

KINGDOM - 3) Edge Hill University & Alder Hey Children's NHS Foundation Trust, Evidence-based Practice Research

Centre & Children's Nursing Research Unit, Ormskirk, UNITED KINGDOM - 4) Alder Hey NHS Foundation Trust,

Department of Surgery & Children's Nursing Research Unit, Liverpool, UNITED KINGDOM

PURPOSE

The personal experiences of young people (YP) following bladder augmentation (BA) is under researched. The aim of

this study was to explore YP’s life following BA. This presentation will share early concepts, which explore the

experiences of life with a BA.

MATERIAL AND METHODS

A qualitative study was undertaken from 2012-2014 using interpretative phenomenological analysis (IPA). Recruitment

was from one paediatric and one adult hospital, written informed consent was obtained. Face-to-face interviews were

organised at a date, time & venue negotiated between the YP and researcher. Interviews were audio recorded and

transcribed verbatim. Analysis was undertaken using IPA, initially case by case then by cross case analysis to identify

themes.

RESULTS

Eight YP (aged 14-25 years; mean 19 years) who had a BA performed 3-14 years previously were interviewed. The

findings show that prior to BA surgery, living with the unpredictable nature of their bladder was challenging and limited

their engagement in social activities. Involvement in the BA surgical decision-making varied and was influenced by their

age, understanding and motivation. Following surgery for some YP noticeable restrictions persisted such as regular

catheterisation. Despite this YP believed that surgery had offered a sense of freedom that was previously not achievable.

This is evidenced in how they talked about independence and their flexibility in their bladder management.

CONCLUSIONS

While small, this study emphasises the impact having a BA has on these YP in many aspects of their life. Surgery

enhanced their wellbeing and provides them with the opportunity to normalise their lives.