Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

15:52 - 15:55

S27-8

(PP)

EVALUATION OF SUBJECTIVE AND OBJECTIVE IMPROVEMENT AFTER

MEATOTOMY- LONG TERM FOLLOW UP

Abed Elhalim DARAWSH

, Itay STERNBERG

, Ilan LEIBOVITCH

and Amos NEHEMAN

1) Meir Medical Center, Urology, Kfar-Saba, ISRAEL - 2) Meir Medical Center, Paediatric Urology, Kfar-Saba, ISRAEL

PURPOSE

Meatal stenosis affects 3% of circumcised neonates and is associated with bothersome symptoms. Our aim was to

assess the subjective and objective improvement after surgical correction of meatal stenosis

MATERIAL AND METHODS

After institutional review board approval, 25 children were prospectively enrolled. All children were evaluated

subjectively (symptoms questionnaire and physical exam) and objectively (uroflow) before surgery, 1 month after

surgery and after a long follow-up period (median 43 months).

Continuous variables were compared using the Wilcoxon (Mann-Whitney) test and dichotomous variables were

compared using Fisher’s exact test

RESULTS

Long-term follow-up was available for 15 children, on which this report will focus.

All children were symptomatic before surgery, most with multiple symptoms. After surgery 13/15 were symptom-free

and 12/15 remained symptom free at long-term follow-up.

Eight of fifteen (53%) children had a flat uroflow curve before surgery, 14/15 had a normal urolflow curve after surgery

and 12/15 had a normal curve at long-term follow-up.

Maximal flow (Qmax) was 11.5, 15.3 and 12.6 ml/s before surgery, one month after surgery and at long-term follow-up,

respectively. While the immediate improvement was statistically significant (p=0.02) the long-term improvement was

not (p=0.4). Six of 15 children had a normal Qmax before surgery. Normal Qmax was seen in 11/15 and 12/15 children

one month and long-term after surgery, respectively (p=0.057). Postvoid residual was 35.6ml, 14.5ml and 11.5ml

before surgery, one month after surgery and at long-term follow-up, respectively. (p=0.045)

CONCLUSIONS

The symptomatic improvement after surgery is almost uniform and sustainable after long-term follow-up. Our results

imply objective improvement as well, but a larger study is needed to confirm this finding.