UP-03.011 Handling and Outcomes of Male Urinary Incontinence by Suburethral Sling After Radical Prostatectomy Izquierdo Morejón E, Pietricicà B, Montoya Chinchilla R, Cano García M, Hidalgo Agulló G, Hita Villaplana G, Rosino Sánchez A, Romero Hoyuel A, Fernández Aparicio T, Miñana López B Dept. of Urology, Morales Meseguer University General Hospital, Murcia, Spain Introduction and Objectives: The prac- tice of radical prostatectomy (RP) in the treatment of prostate cancer has some- times led to the stress urinary inconti- nence (SUI). This situation leads to the establishment of pelvic floor rehabilitation treatment and other treatments such as suburethral sling, transurethral injection of space-occupying substances (bulk effect) or artificial urinary sphincter. In our ser- vice, we have detected the opportunity to correct stress urinary incontinence and improve quality of life by suburethral sling placement. The objective is to present the management and the results of our experi- ence in the surgical correction of urinary light or moderate incontinence by subure- thral sling in patients with impaired qual- ity of life. Suburethral sling is a treatment with good functional results in experi- mented series Material and Methods: Since May 2008 to February 2011, there were 20 proce- dures, supervised in 4 cases. In 18 proce- dures sling type has been established and artificial urinary sphincter in 2 cases. The average age of patients was 66.3 years. Management: after RP, all patients had been followed previously in medical ap- pointment, with good oncology outcomes but SUI grade mild or moderate in 20 cases and moderate to severe in 1 new case and in 1 of them after first surgery. In all patients a cystoscopy and urodynam- ics was performed prior, to explore com- petent external sphincter, the absence of obstructive factor. They have been fol- lowed up during 34 months in 3 proce- dures, 22 months in another 3 cases, 17 months in 3 cases, 12 months in 3 cases and less than 12 months in 8 cases. The procedure was well tolerated with no sig- nificant immediate complications (a case of scrotal hematoma resolved with conser- vative treatment) and long complication in a patient with urethral stricture and one recurrent stress urinary incontinence has been treated with an artificial sphinc- ter. Results: The bladder catheter was re- moved after 48h with a mean of 2 days. Functional results were good and patients have been continent (do not use pads) in 78% of cases with a significant increase in quality of life; 13% of them use 1 pad, or use less than half than before. The aver- age pad usage before and after the treat- ment was 3 per day and 0.25 per day re- spectively. Conclusions: In our initial experience, the use of suburethral sling for treatment type of mild-moderate SUI male is a feasi- ble technique after training without signif- icant surgical risks, easily reproducible, with good functional outcome in the short to medium term, assuming substan- tial improvement in the quality of life in these patients. UP-03.012 Optical Internal Urethrotomy Revisited: The Modified Way We Do It Khanna S, Mittal S Sir Ganga Ram Hospital, New Delhi, India Introduction and Objectives: We re- view the result of direct visual internal urethrotomy for short and long urethral strictures in 25 patients for the last four years. Various modifications for the proce- dure have been done in the literature and followed by long-term self-catheterization, with poor results. We did an intraopera- tive modification along with optical ureth- rotomy with a postoperative urethral cali- bration protocol and to evaluate if this works better than the available tech- niques. Material and Methods: Patients with submeatal, penile, bulbar urethral stricture or whole of anterior urethral or even after failed urethroplasty were included. Opera- tion was started with 6/7.5 Fr semi rigid ureteroscope and urethral lumen was identified and a straight guide wire passed into the bladder. Many urethral opening were there which could allow only the guide wire to go across urethra is dilated over this guide wire initially with Teflon coated ureteral dilators from 6 F to 16 f, and then with PCNL dilators from 18 to 24Fr, giving 1-2 minutes for every step. This is followed by optical urethrotomy at 6 and 12 o’clock and 16f silicone Foley’s left indwelling for 2 weeks for bad stric- tures and 1 week for softer one. If the initial O.I.U the urethra was found to be tight then repeat elective O.I.U was done after 2 weeks. Following catheter removal the urethra was calibrated at 1,4, 8 and 24 weeks and thereafter yearly. Results: Following catheter removal, pa- tients are evaluated in terms of symptoms and objectively by uroflowmetry. Even after open urethroplasty the peak rates shown by authors is 15ml/sec. Our pa- tients are voiding extremely well with peak flow rates more than 20ml/sec. Conclusion: Preoperative uroflow and retrograde urethrogram and postoperative uroflow graph have to be seen to believe how gratifying this approach is. None of the patients have required open surgery thereafter or the need of any self-catheter- ization. So the notion that urethroplasty has got the best result in every hand is wrong, and modified O.I.U should be the procedure of choice for everyone and this can make optical urethrotomy results more lasting and gratifying both for the patient and the surgeons. UP-03.013 Efficacy of Holmium Laser Urethrotomy in Combination with Intralesional Triamcinolone in the Treatment of Urethral Stricture Kumar S, Kapoor A, Sharma V, Singh S, Ganeshmoni R PGIMER, Chandigarh, India Introduction and Objective: Though direct visual internal urethrotomy is com- monly being used as first modality of treatment for short anterior urethral stric- tures, the cure rates have been low. The purpose of this study was to evaluate out- come of urethrotomy using holmium laser along with intralesional triamcinolone in- jection as a minimally invasive treatment for urethral stricture. Material and Methods: Fifty consecutive patients with urethral stricture were eval- uated by clinical history, physical exami- nation, uroflowmetry and retrograde ure- throgram preoperatively. All patients were treated with holmium laser urethrotomy and intralesional triamcinolone (80 mg) injection under general or regional anaes- thesia. All patients were followed up for at least 6 months postoperatively by his- tory and uroflowmetry. Results: Mean age of the patients was 42.9 years (range 14 to 70 years). The mean follow-up was 6 months. The over- all recurrence rate was 24%. The success rate in patients with strictures less than 1cm length was 95.8% while in patients with 1-3cm length strictures the success rate was 57.7%. Thus, success rate was significantly better in patients with stric- ture length less than 1cm as compared to those with stricture length 1-3cm (p=0.002). Among the 12 patients in whom recurrence was seen, urine cul- tures were sterile in 7 patients (58.3%), UNMODERATED POSTER SESSIONS UROLOGY 78 (Supplement 3A), September 2011 S347