尿道上裂的治疗

Management of epispadias.

作者信息

Grady Richard W, Mitchell Michael E

机构信息

Section of Pediatric Urology, Children's Hospital & Regional Medical Center, University of Washington Medical Center, 4800 Sandpoint Way NE, Seattle, WA 98105, USA.

出版信息

Urol Clin North Am. 2002 May;29(2):349-60, vi. doi: 10.1016/s0094-0143(02)00027-7.

DOI:10.1016/s0094-0143(02)00027-7

PMID:12371226

Abstract

Although epispadias is considered to be the least severe defect of the exstrophy-epispadias complex, the treatment of this anomaly is far from trivial. Epispadias does not involve the body of the bladder or the hindgut but does affect the urethra and can affect the bladder neck. As a consequence, it presents with a spectrum of severity that can affect urinary continence if the epispadias anomaly is proximal enough to affect the urinary sphincter mechanism.

摘要

尽管尿道上裂被认为是膀胱外翻-尿道上裂复合畸形中最不严重的缺陷，但对这种异常情况的治疗绝非易事。尿道上裂不涉及膀胱体或后肠，但确实会影响尿道，并且可能影响膀胱颈。因此，它呈现出一系列严重程度，如果尿道上裂异常足够靠近近端以影响尿道括约肌机制，就可能影响尿失禁。