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 3: BPH/Urodynamics MP3-10 Adherence with Imaging and Treatment Recommendations Following Urodynamics Testing in Patients with Neurogenic Bladder A. Xiang, A. Braun, E. Li, J. Cohn Albert Einstein Medical Center Philadelphia, Philadelphia, PA, USA Introduction and Objective: Adults with neurogenic bladder (NGB) face challenges in pursuit of diagnostic and management recommendations with potentially unfortunate implications.We sought to characterize adherencewith provider recommendations following urodynamics testing (UDS) in patients with NGB, and factors that may be associated with clinical consequences. Methods: We reviewed records of adult patients with NGB who underwent UDS from 7/2018-7/2020. Overall “non-adherence” was defined as failure to pursue recommended testing, treatment, or follow-up within the recommended time frame; sub-analyses evaluated adherence with specific recommendations. Consequences of non-adherence were assessed as urinary tract infections (UTIs) and urologic acute care visits 6 months following post- UDS provider recommendations. Results: Mean age of the 135 patients was 55 +/- 17.6 years, and 48 (36%) were male. 90patients (67%)were compliantwithall recommendations, and42patients (31%) were not (Table 1). Patients with suprasacral spinal cord injury had the lowest rates of adherence (41%). 24% (8/33) were compliant with recommended diagnostic testing, with adherence to other recommendations ranging from 35% (sacral neuromodulation) to 92% (continue current medications) (Table 2). We did not observe any clear association between adherence and 6-month UTI frequency (p=0.88) or urologic ER visits (p=0.12) or hospitalizations (p=0.55). Conclusions: Even among adults withNGBwho demonstrate the capacity to obtain care based upon pursuit of UDS, fewer than one-third may be able to complywith subsequent care recommendations.Adherencewith imaging and procedural interventions may be particularly challenging. Optimal care for patients with NGB requires attention to barriers in pursuit of recommended testing and treatment. Post-Phalloplasty Urinary Function Test: A Novel Outcome Instrument to Capture Urinary Dysfunction and Quality of Life after Phalloplasty J. Liu 1 , L. Eisenbeis 2 , S. Preston 2 , A. Burnett 1 , H. DiCarlo 1 , D. Coon 2 1 The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA, Baltimore, MD, USA; 2 Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA, Baltimore, MD, USA Introduction andObjective: Due to decreased stigma andmounting evidence for gender affirmation surgery the number of phalloplasties performed the past decade has increased dramatically. Existing research focuses on surgical complications and aesthetic outcomes, while few have assessed functional urologic outcomes. In trans men there is currently no accepted post phalloplasty specific urinary questionnaire. The objective of this study is to present our novel outcome instrument the Post-Phalloplasty Urinary Function Test (PPUFT) and our protocol tomeasure post void urethral volume (PVUR). We present our findings on current patients who have undergone phalloplasty and urethral lengthening. Methods: We conducted an initial validation study in a cohort of 15 adult transmenwho had undergone phalloplastywith urethral lengthening surgery between 2018 and 2021 by a single surgical team. Patients had stable urinary function via the neophallus at time of survey. Patients filled out the PP UFT and were asked to record their PVUR per our protocol. Results: In this study, the PP UFT had an average score of 8.86 out of 40, average quality of life (QOL) score was 2.6. Post void dribbling constituted the major complaint and on average comprised 63% of the reported PP UFT score. Average PVUR was 2.16 ml (range 0.5-5.6 ml). Statistical analysis was limited; however, there was a positive correlation between higher PPUFT and worse reported quality of life. Conclusions: There is a paucity of urinary function studies in trans men after phalloplasty. We report our novel outcome instruments in a cross-sectional study. PVUR and post void dribbling is a significant detriment to quality of life and encompasses most of the urinary complaints in this population. MP3-09 22