Pd04-05 Vermont Ski Slope: A Novel Technique of Submucosal Bladder Bulking in Sensate Patients With Continent Catheterizable Channels

You have accessJournal of UrologyPediatrics I (PD04)1 May 2024PD04-05 VERMONT SKI SLOPE: A NOVEL TECHNIQUE OF SUBMUCOSAL BLADDER BULKING IN SENSATE PATIENTS WITH CONTINENT CATHETERIZABLE CHANNELS Alexander Plochocki, Brett Giblin, and Gerald Mingin Alexander PlochockiAlexander Plochocki , Brett GiblinBrett Giblin , and Gerald MinginGerald Mingin View All Author Informationhttps://doi.org/10.1097/01.JU.0001008812.05762.7f.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To facilitate catheterization, creation of continent catheterizable channels (CCC's) are often utilized. Despite a functioning CCC, many sensate patients will experience pain during catheterization, which can lead to less frequent or incomplete emptying. We theorize that this is due to the catheter tip hitting the trigone. We hypothesize that redirecting the catheter away from the trigone would reduce the pain with catheterization, resulting in increased compliance. We propose a minimally invasive approach using submucosal injection of Hyaluronic Acid three patients had posterior urethral valves and one patient had non-neurogenic neurogenic bladder. There were no immediate post-operative complications. All patients noted resolution of pain during catheterization. The median duration of follow up is 13.5 months (Range 3-93 months). All remain infection free with a greater than 3-hour period of dryness in one and a significant improvement in hydronephrosis in another. One patient had their initial ski slope in 2014 and started to have catheterization pain again in 2020, which responded to a repeat procedure. CONCLUSIONS: All four patients in this series had reduced pain with major improvement or resolution of the sequela suffered from infrequent or incomplete bladder emptying. This procedure should be considered in this patient population before resorting to open surgical channel revision. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e84 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Alexander Plochocki More articles by this author Brett Giblin More articles by this author Gerald Mingin More articles by this author Expand All Advertisement PDF downloadLoading ...