EAU 2013 - Programme Book - YouMed

Monday, 18 March - EAU Programme
Thematic Session 14
11.00 - 12.00 Neurourology
Blue Hall 1-2 - Level N1
Chair: F.C. Burkhard, Berne (CH)
11.00 - 11.15 State-of-the-art lecture Spinal cord injury: The initial management of the bladder
G. Del Popolo, Florence (IT)
Aims and objectives
After spinal cord lesion we observe a period of spinal shock during which we must ensure the drainage of
the bladder using an indwelling catheter, the bladder rehabilitation provide the removal of the indwelling
catheter starting intermittent catheterisation. Further investigations are needed such as renal function tests,
ultrasound, neurophysiological tests, urodynamic examination. Clinical and instrumental tests are mandatory
to optimise rehabilitation management with the use of intermittent catheterism, conservative management,
medical therapy and to prevent neurological bladder complications
11.15 - 11.30 State-of-the-art lecture Pharmacotherapy for neurogenic bladder
P. Radziszewski, Warsaw (PL)
Aims and objectives
The lecture will cover practical aspects of pharmacotherapy of different lower urinary tract conditions
in patients with neurogenic bladder. The new compounds will be critically evaluated and guidelines on
pharamacotherapy will be presented. The main focus will be on proper decision/treatment pathways and
management of tolerability/efficay issues.
11.30 - 11.45 State-of-the-art lecture Renal transplantation into a reconstructed bladder
P. Lopez Pereira, Madrid (ES)
Aims and objectives
Not many years ago, patients with congenital abnormalities of the lower urinary tract or bladder dysfunction
were denied Renal Transplant (RT) because they were considered very high risk recipients. However, in
the last few decades we have learnt that in patients with low-capacity-poorly compliant bladders an
Augmentation Cystoplasty (AC) will create a compliant low-pressure reservoir that will protect the kidney
graft. The incidence of symptomatic UTI may be increased in transplanted patients with AC but UTI is more
related with CIC non-compliance or VUR to the native kidneys than with the AC itself and usually does not
lead to impairment of graft function. Today, patients with a bladder reconstruction can be transplanted with
the same outcome (graft survival and function) as those with normal bladders, although the risk of malignant
transformation in the augmented segment may be increased in these patients.
11.45 - 12.00 Abstract presentations: Special selection from the poster sessions
300 Desmopressin in the treatment of nocturia in patients affected by Parkinson’s disease
S. Proietti, M. Gubbiotti, J.A. Rossi De Vermandois, A. Giannantoni (Rozzano, Perugia, Italy)
441 Why anticholinergics fail: Oxybutynin and fesoterodine induce a shift from muscarinergic to purinergic
transmission in the rat bladder
P. Uvin, M. Boudes, J. Franken, A. Menigoz, S.J. Pinto, T. Gevaert, R. Verplaetse, J. Tytgat, R. Vennekens,
T. Voets, D. De Ridder (Leuven, Belgium)
EAU Milan 2013
261
Monday