Presentation Authors: Aaron Bayne*, Portland, OR, Kathy Herbst, Hartford, CT, Sean Corbett, Charlottesville, VA, Eric Nelson, Richmond, VA
Introduction: Introduction: Anti-reflux surgery success has been well documented in the literature. Little data exists about the characterization of the child's symptoms regarding pain, bladder spasms, and hematuria following these procedures. These symptoms may affect the choice of surgery for families and providers. We sought to characterize parent's perception of and preparedness for recovery from anti-reflux surgery. We hypothesized that parents of children undergoing open reimplant (OR) would report a higher incidence of bladder spasms (BS) and hematuria (HE) compared to children undergoing robotic reimplant (RALR) or endoscopic treatment (DxHA).
Methods: Methods: A 20-question survey was developed to collect perception of recovery preparedness, pain, and symptoms. Surveys were completed by parents at a follow-up visit occurring 3-6 weeks post-discharge. Chi-square, t-test, ANOVA, or non-parametric equivalents were used for between group comparisons.
Results: Results: Participating were 3 institutions and 10 surgeons. Eighty-four parents completed the survey a median of 33 days (IQR 27-40) post-surgery. More parents reported bladder spasms and hematuria in the OR group vs RALR and DxHA . Although there was no difference in maximum bladder spasm pain, duration of pain medication for spasms was longer with OR vs RALR. Most parents (87%) reported they were prepared for their childâ€™s symptoms after surgery. But 33% of OR and 36% of RALR reported spasms were more painful than expected, and 49% of OR reported hematuria was worse than expected. (Table)
Conclusions: Conclusion: We found a significant difference in parental reports of bladder spasms, pain medication, and hematuria between OR, RALR, and DxHA. Although most parents said they were prepared for their childâ€™s recovery, many reported the symptoms were worse than expected. These contradictions may reflect a need for improved physician to parent communication when discussion anti-reflux surgery.