Abstracts from the Abstracts from the Mid-Atlantic Section of the AUA 2021

© The Canadian Journal of Urology TM : International Supplement, October 2021 Moderated Poster Session 2: Stones/Infection/Pediatrics Identifying and Evaluating Online Kidney Stone Pain Resources J. Lim, R. Takele, F. Escobedo, L. Ojeaburu, G. Dominique, K. Scotland University of California Los Angeles, Los Angeles, CA, USA Introduction and Objective: This study aims to identify the most popular online kidney stone pain (KSP) topics and resources and evaluate the content’s readability and quality. Methods: The social media analysis platform Buzzsumo was utilized to identify KSP-related articles and videos and to determine their respective engagement levels (defined based on likes, comments, reactions, and views). The content that met a predetermined standard of greater than 50 engagements were compiled and organized into appropriate categories. The readability of the 10 most popular articles were evaluated using an online website ( www.readabilityformulas.com ) to determine reading grade level. The quality of the same articles were evaluated using the DISCERN instrument. Results: Results from Buzzsumo were organized into four categories (from highest to lowest engagement): ‘passing stones’, ‘home remedies’, ‘stent pain’, and ‘back pain’. The mean grade level of the articles was 10.4; the median was 10 (Figure 1). The articles analyzed by DISCERN yielded a mean score of 2.67/5 (Figure 2). Articles did well to describe the benefits of their advice (Q10 – 4.2/5) but often failed to discuss its risks (Q11 – 1.45/5). Conclusions: This study has identified four topics of interest within online KSP resources: passing stones, home remedies, stent pain, and back pain. Popular articles related to these topics are written at a high school level exceeding the average reading grade level of theAmerican population. These articles have potentially important content but have significant shortcomings. Future patient focused resources should aim to reduce complexity of language and provide impartial advice and information. Evaluation of Robotic versus Open Approaches for Unilateral Ureteral Reimplantation in Pediatric Patients. A. Elbakry 1 , K. Aldabek 2 , O. Al-Omar 1 1 West Virginia University Hospital - Morgantown, Morgantown, WV, USA; 2 West Virginia University School of Medicine - Morgantown, Morgantown, WV, USA Introduction and Objective: We are aiming to evaluate if robotic ureteral reimplantation is a feasible and safe alternative to the conventional open approach in unilateral vesicoureteral reflux in pediatric population. Methods: We retrospectively identified all pediatric patients who underwent robotic unilateral ureteral reimplantation (RUR), and a similar non-concurrnet cohort of patients who underwent open ureteral reimplantion (OUR) was also identified. A total of 33 patients met the inclusion criteria and were included in the analysis. Patients were divided into two groups: group 1 (robotic approach) and group 2 (open approach). Patients’ demographics, perioperative data, and outcomes were collected and reviewed, and univariate analysis was conducted. Results: Total of 17 patient underwent RUR and 16 patients underwent OUR. There was no difference between the two groups regarding demographic data, laterality, incidence of duplicated system or reflux grade. Group 1 had higher incidence of constipation (94.2% vs. 56%) and dysfunctional voiding (82% vs. 37%) (P = 0.01). Both groups were similar regarding operative time and detrusor tunnel length. All patients in both groups were discharged after 24-48 hours. No reported early postoperative complications. One patient in group 2 required readmission within 30 days for UTI. A total of 13 patients in group 1 underwent follow-up voiding cystourethrogram (VCUG) that showed success rate of 100% with new development of contralateral Grade 1 VUR in 2 patients. In group 2, only 2 patients underwent follow-up VCUG for febrile UTI and it showed newly developed contralateral VUR. Conclusions: Our results suggest that robotic approach for ureteral reimplantation as a management for vesicoureteral reflux in pediatric population is a safe and feasible alternative to open approach. Future studies with larger number are warranted. MP2-09 MP2-08 16