Source of Funding: None MP81-11 THE EFFECT OF SOCIODEMOGRAPHIC FACTORS ON THE MANAGEMENT OF STAGE I NON-SEMINOMATOUS GERM CELL TESTICULAR TUMORS Anand Patel*, Simon Kim, Matthew Maurice, John Kiechle, Hui Zhu, Robert Abouassaly, Cleveland, OH INTRODUCTION AND OBJECTIVES: There are three equiva- lent treatment options in the management of Stage 1 Non-semi- nomatous germ cell testicular tumors, including surveillance, retroperitoneal lymph node dissection (RPLND), and chemotherapy. The choice of treatment is likely influenced by disease factors, patient and provider factors. The aim of this study is to evaluate the effect of sociodemographic factors on the management of stage I Non-semi- nomatous germ cell tumors of the testis. METHODS: We identified 31,308 patients in the National Cancer Data Base with Stage I Non-seminomatous germ cell tumors from 1998 to 2012. Patients with missing data for variables of interest were excluded (n¼24,926), leaving 6,382 patients for analysis. Multi- variable logistic regressions were performed to evaluate the effect of sociodemographic factors on treatment choice. RESULTS: During our observation period, the proportion of patients treated by surveillance remained stable overtime, while there was an increase in chemotherapy use from 19.54% to 31.15%, corresponding with a decline in the use of RPLND from 35.63% to 11.79%. Surveillance was more common in patients older than age of 40 (Odds ratio (OR) ¼ 1.22 (age > 40 vs. >30 years), p ¼ 0.027) and community based hospitals (OR ¼ 2.12 (community vs. academic), p < 0.0001; OR ¼ 1.81 (comprehensive cancer center vs. academic), p < 0.0001). Surveillance was less common in patients with lympho- vascular invasion (OR ¼ 0.34, p < 0.0001). Chemotherapy was more common in patients with social insurance (OR ¼ 1.35 (social insurance vs. private), p ¼ 0.006), community hospitals and patients with lymphovascular invasion. While RPLND was more common in younger patients and at academic centers. CONCLUSIONS: For the management of stage 1 testicular non-seminomatous germ cell tumors post orchiectomy rates of sur- veillance have remained stable while rates of chemotherapy have increased coinciding with a decline in RPLND rates. Older age and facility type are strongly associated with the choice of Surveillance, whereas chemotherapy remains more commonly used in patients with social insurance. Source of Funding: none MP81-12 LONG-TERM SEXUAL HEALTH OUTCOMES IN MEN WITH CLASSIC BLADDER EXSTROPHY Ross Everett, Timothy Baumgartner*, Kathy Lue, Ezekiel Young, Sunil Reddy, Uzoma Anele, Nilay Gandhi, Cameron Alexander, Heather Di Carlo, John Gearhart, Baltimore, MD INTRODUCTION AND OBJECTIVES: Long-term sexual outcomes in men born with classic bladder exstrophy (CBE) is an area of growing interest. With the transition from adolescence to adulthood, relationships and sexual performance have increasing importance. Currently, there is a paucity of data regarding the relationship status and sexual well-being of CBE patients in adulthood. The authors 0 aim is to further quantify these quality of life components to allow for enhanced psychosocial support and medical care in adulthood. METHODS: A prospectively-maintained institutional database comprised of 407 patients with CBE was utilized. Male patients 18 years or older were included. The Sexual Health Inventory for Men (SHIM) and the Penile Perception Score (PPS) questionnaire were utilized as well as study specific questions on health, relationship, and fertility status. Patients were contacted via telephone and were given the option to complete the survey via telephone, internet, or mailed paper. RESULTS: A total of 215 men were identified, of which 72 (33.5%) completed the questionnaire. The mean age of the partici- pants was 32.3 years, and 64% were in a relationship. 83% of the respondents had been sexually active in their lifetime, with 94% reporting a moderate to very high sexual desire. 71% had high to very high confidence in their ability to obtain and maintain an erection, and 73% were confident they would have an erection sufficient for penetration a majority of time. In light of their strong libido and erectile function, only 57 % were moderately to very satisfied with their sex life. The average SHIM score was 19.5. The PPS revealed all aspects of assessment scored an average between the dissatisfied and satisfied range on the four point Likert scale, except for penile length which was between very dissatisfied and dissatisfied with a score of 0.82. Fertility was identified as somewhat to very important to 72% of the respondents. Despite this reported importance, only 26% had attemp- ted to obtain pregnancy with their partner. This may be related to the concern of 47% of the men that they may be infertile. 15% were suc- cessful in achieving pregnancy with their partner, while 28% report a confirmed fertility problem. 25% of the responders report having a semen analysis or post-ejaculatory urinalysis. Of the samples collected, only 2 individuals reported azoospermia. CONCLUSIONS: CBE patients have many of the same sexual and relationship successes and concerns as the general population. This is invaluable data to provide to both the parents of boys with CBE, as it is to the patients themselves as they transition to adulthood. Vol. 195, No. 4S, Supplement, Monday, May 9, 2016 THE JOURNAL OF UROLOGY â e1057