Barry John M
Division of Urology and Renal Transplantation, The Oregon Health and Science University, Portland, OR 97239, USA.
Transplantation. 2004 Apr 15;77(7):1120-3. doi: 10.1097/01.tp.0000116711.59454.f1.
An abnormal urinary bladder is no longer a contra-indication to renal transplantation. A normal urinary bladder stores urine at low pressure, does not leak, and empties completely by natural voiding. In contrast, an abnormal urinary bladder stores urine at high pressure, leaks, or does not empty completely by natural voiding. A variety of procedures have been devised to change the abnormal bladder into a continent low-pressure reservoir. Knowledge of these bladder modifications and their management should allow successful transplantation in patients with abnormal bladders and provide outcomes that match or approach those achieved in patients with a normal bladder.
异常膀胱不再是肾移植的禁忌证。正常膀胱能在低压下储存尿液，不发生漏尿，且能通过自然排尿完全排空。相比之下，异常膀胱在高压下储存尿液、发生漏尿或不能通过自然排尿完全排空。已经设计了多种手术方法将异常膀胱转变为可控低压储尿囊。了解这些膀胱改造方法及其处理措施，应能使异常膀胱患者成功接受移植，并获得与正常膀胱患者相当或接近的治疗效果。
