356 An Unfortunate Case of Spinal Injury and Bladder Dysfunction During the Covid-19 Pandemic

Abstract There is no doubt that COVID-19 has had a profound impact on every medical and surgical speciality. In the height of pandemic many non-emergency services were shut down, including dental services, with unexpected consequences. We present case which highlights indirect consequences national lockdown Urology patient discuss learning points. A 54-year-old male, previously fit well suffered small abscess, media outlets reporting surgeries closed, he therefore attempted to drain abscess himself. The infection spread his epidural space, causing compression via collection at L2 consequently spinal cord injury. This was managed urgent lumbar decompression antibiotics. specialist functional urology team involved after transfer tertiary unit 3 months first presentation. He catheterised but recurrent catheter blockages. Video urodynamics demonstrated stable bladder low-pressure leak point, urethral catheterisation. repeat video loss compliance stress incontinence. Unclear as whether would regain function rehabilitation techniques are currently being prior for definitive operative management an artificial sphincter. UK this not been widely reported.