Kreder K J, Webster G D
Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina 27710.
J Urol. 1992 Jan;147(1):38-41. doi: 10.1016/s0022-5347(17)37128-8.
We reviewed 30 patients who required augmentation enterocystoplasty and a procedure to modify the bladder outlet for the treatment of intractable incontinence. Of the 30 patients 16 were treated with simultaneous cystoplasty and an outlet procedure, 6 initially underwent an outlet procedure followed by cystoplasty and in 8 cystoplasty was performed first with a subsequent operation to modify the bladder outlet. Continence was achieved in 29 patients. The current methods for evaluation of the bladder and its outlet are reviewed, focusing on the predictive value of preoperative testing to determine which patients require cystoplasty and an outlet modifying procedure.
我们回顾了30例需要进行扩大性肠膀胱成形术以及一项用于治疗顽固性尿失禁的膀胱出口改良手术的患者。在这30例患者中，16例接受了同期膀胱成形术和出口手术，6例最初接受了出口手术，随后进行膀胱成形术，8例首先进行膀胱成形术，随后进行手术以改良膀胱出口。29例患者实现了控尿。本文回顾了当前评估膀胱及其出口的方法，重点关注术前检查对于确定哪些患者需要进行膀胱成形术和出口改良手术的预测价值。
