Kryger John V, González Ricardo
University of Wisconsin Children's Hospital, Madison, Wisconsin 53792, USA.
J Urol. 2004 Dec;172(6 Pt 1):2384-6. doi: 10.1097/01.ju.0000140955.88300.d8.
Total urogenital sinus mobilization (TUM) has been advocated as a successful technique in the repair of common urogenital sinus anomalies. To our knowledge the long-term effects on continence, voiding pattern and bowel control have not been published. We present our experience and assessment regarding these issues.
We retrospectively reviewed our experience with TUM. Medical records were reviewed for each patient along with long-term followup by telephone questionnaire and clinical visits. Uroflowmetry was performed in recent patients who were old enough to cooperate in the study.
A total of 13 females underwent TUM. Medical records were reviewed for all patients. Patients were divided into 2 groups. Group 1 consisted of 7 patients who underwent surgery before the age of achieving continence, and group 2 consisted of 6 patients who were incontinent before surgery. One patient in group 2 was lost to long-term followup. Two children in group 1 have enuresis, a 27-month-old with day and nighttime enuresis and a 3-year-old with only nocturnal enuresis. All patients in group 2 were continent immediately postoperatively.
TUM preserves urinary continence immediately postoperatively among patients who are continent before surgery. Furthermore, it does not appear to delay the natural development of continence among patients undergoing surgery before the age of toilet training.
全泌尿生殖窦游离术（TUM）已被推崇为修复常见泌尿生殖窦畸形的一种成功技术。据我们所知，其对控尿、排尿模式和肠道控制的长期影响尚未见报道。我们介绍我们在这些问题上的经验和评估。
我们回顾性分析了我们行TUM的经验。查阅了每位患者的病历，并通过电话问卷和临床随访进行长期跟踪。对近期年龄足够大且能配合研究的患者进行了尿流率测定。
共有13名女性接受了TUM。查阅了所有患者的病历。患者分为2组。第1组由7名在实现控尿前接受手术的患者组成，第2组由6名术前失禁的患者组成。第2组中有1名患者失访。第1组中有2名儿童有遗尿症，一名27个月大的儿童白天和夜间均遗尿，一名3岁儿童仅夜间遗尿。第2组所有患者术后立即实现控尿。
TUM在术前已能控尿的患者中术后立即保留了尿失禁。此外，对于在如厕训练年龄之前接受手术的患者，它似乎并未延迟控尿的自然发展。
