MP55-14 SURGICAL SCAR LOCATION PREFERENCE FOR PEDIATRIC KIDNEY AND BLADDER SURGERY: A CROWD-SOURCED POPULATION-BASED SURVEY

Abstract

You have accessJournal of UrologyPediatrics: Urinary Tract Infection and Vesicoureteral Reflux1 Apr 2016MP55-14 SURGICAL SCAR LOCATION PREFERENCE FOR PEDIATRIC KIDNEY AND BLADDER SURGERY: A CROWD-SOURCED POPULATION-BASED SURVEY Michael Garcia-Roig, Curtis Travers, Jared Kirsch, and Andrew Kirsch Michael Garcia-RoigMichael Garcia-Roig More articles by this author , Curtis TraversCurtis Travers More articles by this author , Jared KirschJared Kirsch More articles by this author , and Andrew KirschAndrew Kirsch More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.605AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Surgeons strive to offer minimally invasive surgery (MIS) options with evidence of a reduced length of hospital stay (LOS) & postoperative pain for pediatric urology cases. MIS in our patients often require abdominal port placement & scarring, albeit small. We aimed to evaluate the choices adult patients make for themselves & their children regarding open & MIS scar location. METHODS A survey was generated assessing patient preference for scar location/size based on surgical procedures for bladder & kidney surgery with additional questions assessing the impact of LOS & pain. The survey was posted to Amazon Mechanical Turk (www.mturk.com) with a $0.20 reward/survey. Non-identifying demographic information was assessed. RESULTS Of the 499 respondents, 150 resided outside the United States & 50 worked in the medical field & were excluded. Analysis included 290 respondents, 127 (44%) male, with the following demographics being most prevalent: age 25-35 (40%), residing in Southeast region (27.2%), white race (81.7%), bachelors or associates degree (50%), married (41%), not disabled (90.3%), & no children (56.6%). A history of surgery was reported by 199 (68.6%), & 125 (43.1%) had surgery as a child. Of these patients, surgical scar bother was present in 99 (50.0%), of which 66 (68%) would be less bothered if it were underwear-hidden. Similarly, 35 (28%) reported their child having had surgery, with 20 (57.1%) reporting the scars would be less bothersome if underwear-hidden. The following were rated as important (vs not important) when choosing surgical options for adults & for their children (adults, children): pain, 224 (77.2%), 113 (91.2%); LOS, 171 (48.3%), 85 (68.5%); scar location, 140 (48.3%), 84 (67%). For pelvic surgery scar size/location, respondents were evenly split between a pfannenstiel & standard 3-port laparoscopic port placement at 127(43.8%) each. When scar location was illustrated with respect to the underwear line, 235 (81%) preferred a larger underwear-hidden pfannenstiel, & 103 (83.1%) for their child. For kidney surgery, a dorsal lumbotomy incision was preferred by 196 (67.6%) adults & for 85 (68.6%) children based on scar size/location. When renal MIS was presented as less painful with shorter LOS, it was chosen by 125 (43.1%) adults & for 67 (54%) of children as opposed to by 18 (6.2%) adults & for 8 (6.5%) children when asked based on scar size/location alone. CONCLUSIONS Adult & parent preference for scar location does not consistently favor smaller incisions, often independent of pain or LOS. Respondents frequently chose the traditional open surgery in favor of cosmesis. Parental decisions for surgery should involve scar location preference. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e741 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Michael Garcia-Roig More articles by this author Curtis Travers More articles by this author Jared Kirsch More articles by this author Andrew Kirsch More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...