V11-11 ROBOTIC AUGMENTATION CYSTOPLASTY FOR CONTRACTED BLADDER SECONDARY TO CYSTITIS: A 1-YEAR OUTCOME ASSESSMENT

Abstract

You have accessJournal of UrologyTransplant, Misc GU Cancers & Bladder Reconstruction (non-cancer) (V11)1 Apr 2020V11-11 ROBOTIC AUGMENTATION CYSTOPLASTY FOR CONTRACTED BLADDER SECONDARY TO CYSTITIS: A 1-YEAR OUTCOME ASSESSMENT Chi Hang Yee*, Peter Ka Fun Chiu, Yun Sang Chan, Jeremy Yuen Chun Teoh, Mandy Ho Man Tam, Hon Ming Wong, Chi Kwok Chan, See Ming Hou, and Chi Fai Ng Chi Hang Yee*Chi Hang Yee* More articles by this author , Peter Ka Fun ChiuPeter Ka Fun Chiu More articles by this author , Yun Sang ChanYun Sang Chan More articles by this author , Jeremy Yuen Chun TeohJeremy Yuen Chun Teoh More articles by this author , Mandy Ho Man TamMandy Ho Man Tam More articles by this author , Hon Ming WongHon Ming Wong More articles by this author , Chi Kwok ChanChi Kwok Chan More articles by this author , See Ming HouSee Ming Hou More articles by this author , and Chi Fai NgChi Fai Ng More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000945.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ketamine abuse can result in a small contracted bladder via a pathological inflammatory and fibrotic process. We reported the 1-year outcome of robotic augmentation cystoplasty in patients diagnosed of ketamine cystitis. METHODS: This is a prospective series of patients with ketamine cystitis who underwent robotic augmentation cystoplasty in our institution. During the surgery, 30-35cm ileal segment was isolated for augmentation in a clamp cystoplasty manner. Assessment included basic demographic data, functional bladder capacity (FBC), pelvic pain and urgency/frequency (PUF) symptom scale, EQ-VAS and analgesic consumption. Pre-operative and 1-year follow-up data were compared. RESULTS: Between October 2014 and July 2018, 11 patients underwent the procedure. Mean operative time was 283.8 ±98.9 minutes. Pre-operative mean FBC was 58.1 ± 36.6, 1-year post-operative FBC was 309.3 ± 231.5ml (p=0.001). Improvement in PUF total score (mean score 27.0 ± 4.1 vs 15.6 ± 6.1, p=0.003) and decrease in analgesic consumption (number of patients 6 vs 1, p=0.037) were observed after operation. One patient had Clavien-Dindo grade 1 complication and one patient had Clavien-Dindo grade 3 complication. CONCLUSIONS: Robotic augmentation cystoplasty provides a minimally invasive surgical option to significantly improve the bladder capacity in patients with a contracted bladder. Pain relief can also be achieved in severe cystitis patient after robotic augmentation ileocystoplasty. Source of Funding: Nil © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1017-e1018 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chi Hang Yee* More articles by this author Peter Ka Fun Chiu More articles by this author Yun Sang Chan More articles by this author Jeremy Yuen Chun Teoh More articles by this author Mandy Ho Man Tam More articles by this author Hon Ming Wong More articles by this author Chi Kwok Chan More articles by this author See Ming Hou More articles by this author Chi Fai Ng More articles by this author Expand All Advertisement PDF downloadLoading ...