Page 1 - [Podium Sessions] CUA 2022 Annual Meeting Abstracts

2022 CUA ABSTRACTS

CUA 2022 Annual Meeting Abstracts – Podium Session 1: BPH,

GU Trauma and Reconstruction, Neurogenic Bladder, Urinary

Incontinence and Voiding Dysfunction, Pediatrics

Friday, June 24, 2022 • 13:30–14:30

Cite as: Can Urol Assoc J 2022;16(6Suppl1):S5-7. http://dx.doi.org/10.5489/cuaj.7919

POD-1.1 Introduction: The Adjustable Transobturator Male System (ATOMS) is a tran-
Teste Talk: A trial social media campaign to improve awareness sobturator device with a non-circumferential adjustable hydraulic cushion
of testicular torsion used to treat stress urinary incontinence after prostate cancer treatment.
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Taylor Sawchuk , Darcie Kiddoo , Peter Metcalfe 2 The aim of this multicentered study was to assess the incidence and factors
1 Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, associated with device explantation.
Canada; Department of Surgery, University of Alberta, Edmonton, AB, Canada Methods: A multicentered analysis was performed on patients treated for
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Introduction: Adolescent males are particularly prone to testicular tor- post-prostatectomy incontinence using the third-generation ATOMS at nine
sion and subsequent orchiectomy. Early identification and presentation are Canadian centers between September 2015 and August 2020. The primary
critical for testicular salvage. A lack of knowledge about testicular patholo- outcome was incidence of device explantation. The secondary outcome
gies, in particular torsion, as well as hesitancy to discuss genital concerns was factors associated with device explantation. Univariable Cox regression
are fundamental, preventable barriers to presentation. We hypothesized was used to determine the association between explantation and clinical
that a social media campaign to improve awareness and knowledge of factors. Variables with strong univariable signals (two-tailed p-value <0.2)
torsion and other urological conditions may overcome such barriers in were analyzed in a multivariable regression model.
this population. Results: A total of 289 patients with a mean age of 68.9 years were analyzed.
Methods: A social media campaign, “Teste Talk,” was created and pro- Preoperative mean pad use was 4.2 pads per day (ppd), 31.5% of patients
moted on Instagram and Facebook. Data was collected fporom June 1 to reported severe incontinence (five ppd), 33.9% had concurrent radiotherapy,
December 1, 2021. Instagram followers, Facebook page likes, Instagram and 19.4% had failed previous incontinence surgery. After a mean followup
and Facebook reach, post likes, and Instagram follower data were reviewed. of 24.9 months, postoperative pads use decreased to 0.9 ppd (p<0.0001);
Data was collected using the Facebook Business Suite. Paid promotions to 71.2% (n=210) of patients underwent adjustment a mean of 2.1 (0–9) times.
improve awareness of the campaign were targeted towards 13–18-year-old Overall continence rate was 72.9% (215/289), 89.3% (n=258) of patients
males in Alberta and were funded by the Undergraduate Research Initiative experienced >50% improvement, and 84.4% (n=244) of patients were satis-
Support Fund. fied with surgery. Twenty-five patients required device explantation (8.7%)
Results: The campaign reached 30 655 Instagram accounts and 20 114 due to infection/erosion of the scrotal port (18/25), urethral erosion (3/25),
Facebook accounts. The Instagram page amassed 369 followers, while the refractory pain (1/25), or lack of efficacy (2/23). On univariable analysis,
Facebook page gained 96 likes. Paid advertisements were seen 81 136 times concurrent radiotherapy (14.3% vs. 5.8%, p=0.02) and obesity (24.0% vs.
on both platforms. All posts were liked 1229 times, commented on 342 10.2%, p=0.008) were associated with device explanation, while patient
times, and shared 1239 times across platforms. Instagram demographics age (p=0.98), diabetes (p=0.99), neurological disease (p=0.88), prior urethral
indicated a 54% male to 46% female following. Of the 59% of followers stenosis (p=0.12), prior incontinence surgery (p=0.10), degree of incontinence
living in Canada, 37% lived in Edmonton. (p=0.68), number of adjustments (p=0.93), and total volume instilled (p=0.67)
Conclusions: Testicular torsion remains a significant issue among adoles- were not. On multivariable analysis, radiation (hazard ratio [HR] 3.08, 95%
cent males, and creative ways to disseminate information and increase confidence interval [CI] 1.30–7.34, p=0.01) and obesity (HR 3.65, 95% CI
knowledge about testicular pathologies are needed. Lack of knowledge 1.24–10.70, p=0.02) remained independently associated with explantation.
in this group contributes to delays and increased risk of orchiectomy. To Conclusions: Although the use of ATOMS is safe and efficacious, the explan-
evaluate our intervention, we will measure orchiectomy rates in Edmonton tation rate appears to fall between that of non-adjustable slings and the
before and after Teste Talk was introduced to determine if the campaign artificial urinary sphincter. Patients with prior radiation and obesity are
was effective in reducing rates of delayed presentation and orchiectomy. at increased risk of explantation and should be counselled accordingly.
POD-1.2 POD-1.3
Multicentered assessment of factors associated with explantation of Prospective assessment of genital pain in patients undergoing
third-generation Adjustable Transobturator Male System (ATOMS) urethroplasty: Incidence, associations, and impact of surgery
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Elizabeth Naud , Geneviève Nadeau , Le Mai Tu , R. Christopher Doiron , Declan Rourke , Jordan Bekkema , Keith F. Rourke 1
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Stephen Steele , Sender Herschorn , Jennifer A. Locke , Conrad Maciejewski , 1 Division of Urology, Department of Surgery, University of Alberta,
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Neil Dwyer , Lysanne Campeau , Kevin Carlson , Keith F. Rourke 1 Edmonton, AB, Canada
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1 Division of Urology, University of Alberta, Edmonton, AB, Canada; Funding: Northern Alberta Urology Foundation
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2 Division of Urology, Université Laval, Quebec, QC, Canada; Division of Introduction: Genital pain is an exceedingly common urological condition
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Urology, Université de Sherbrooke, Sherbrooke, QC, Canada; Department with a probable but unclear association with urethral stricture. The object-
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of Urology, Queen’s University, Kingston, ON, Canada; Division of ive of this prospective study was to assess the incidence of genital pain in
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Urology, University of Toronto, Toronto, ON, Canada; Division of Urology, patients with urethral stricture and examine the impact of urethroplasty.
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University of Ottawa, Ottawa, ON, Canada; Department of Urology, Methods: Over a seven-year period (2011–2018), patients were offered
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Dalhousie University, Halifax, NS, Canada; Division of Urology, McGill enrollment in a prospective, single-center study assessing patient-reported
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University, Montreal, QC, Canada; Division of Urology, University of genital pain pre- and six months post-urethroplasty. Genital pain was
Calgary, Calgary, AB, Canada assessed with the question, “Do you experience genital (scrotal or penis)
CUAJ • June 2022 • Volume 16, Issue 6(Suppl1) S5
© 2022 Canadian Urological Association