Pediatrics(구연) Oral Session8 / Pediatrics (O-079) Rm.203 10월 30일(수) 16:00-17:00 Long term usage pattern and satisfaction survey of Contitnent catheterizable channel ¹연세대학교 의과대학 비뇨의학교실 ²세브란스 어린이병원 소아비뇨의학과 강숭구¹, 김상운¹, 지윤혜², 박지은², 신상희², 이용승¹, 한상원¹ Introduction We investigated long term usage pattern and satisfaction of continent catheterizable channel. Methods From 2005 to 2018, continent catheterizable channel including Mitrofanoff and antegrade continent enema (ACE) channel was performed in 67 patients (21 patients with Mitrofanoff, 43 patients with ACE channel, and 3 with both continent catheterizable channel) in our institution. A telephone interview was conducted through questionnaires on these patients to assess current usage pattern, continent status, difficulty in usage and patients satisfaction Results Sixteen (66.7%) of 24 patients with Mitrofanoff channel and 39 (84.7%) of 46 patients with ACE channel completed telephone surveys. In MC group, 10 (62.5%) patients were with a neurogenic bladder, 2 (12.5%) were with Hinman syndrome, 1 (6.3%) was with posterior urethral valve, and 3 (18.8%) were with urethral trauma or atresia. A mean age at the operation was years (range: 8.4-38.5), and an average follow up period was 10.5 ± 3.8 years (range: 2.5-15.8).. All responded patients were using Mitrofanoff channel to perform clean intermittent catheterization (CIC). Eleven patients(68.8%) have difficulty with catheterization, mostly at stomal site. Most patients conducted CIC more than 4 times a day (13, 81.3%). All patients responded that they were satisfied (7,43.8%) or neutral (9,56.2%) about their urination status. In ACE group, thirty-five patients (89.7%) were with spina bifida, 7 (17.9%) were with cloacal anomaly and 26 (66.7%) were with anorectal malformation. A mean age at the operation was 15.6 ± 6.0 years (range: 4.8-38.4), and an average follow up period was 7.2 ± 3.9 years (range :0.5-16.4) after ACE procedure. Two (5.1%) patients were not in use of ACE currently and 15 (38.5%) patients used ACE channel almost every day. Twenty-eight (71.8%) patients complained of time-consuming with enema, and 7 (17.9%) patients had pain and fecal incontinence. Most patients were satisfied with their defecation status (23, 59% ) while 15 (38.5%) were neutral, and 1 were dissatisfied. Conclusions Most of patients use currently CCC even after growing up. For some patients, the contitnent catheterizable channel may have pain during catheterization, incontinence, or mucosal prolapse. However, urination or defecation using the channels is satisfactory in most patients. keywords : continent catheterizable channel, Satisfaction survey, long term usage pattern