Chin Taiwai, Liu Chiusu, Tsai Hsinlin, Wei Choufu
Pediatric Surgery, Taipei Veterans General Hospital, National Yangming University, Taipei 11217, Taiwan.
J Pediatr Surg. 2007 Sep;42(9):1612-5. doi: 10.1016/j.jpedsurg.2007.04.040.
We report a case of vaginal reconstruction using a flap from urinary bladder in a young girl. This girl was born with cloacal malformation and hemivaginas connected to the urinary bladder. Repeated urinary tract infection and vesicoureteral reflux were noted. At the age of 9 months, she received posterior sagittal anorectoplasty for rectum pull-through, but the urogenital part was not corrected. She had repeated urinary tract infection. Detrusor areflexia and large bladder volume were demonstrated by cystometry. Cystoscopy showed a common channel longer than 3 cm. Urogenital reconstruction was performed at 14 months of age. A part of the urinary bladder wall, which was connected to the vaginas, was used to lengthen the vagina so that the latter was able to pull down to the perineum. The patient received vaginal dilatation and intermittent catheterization after the surgery.
我们报告了一例在一名年轻女孩中使用膀胱瓣进行阴道重建的病例。这名女孩出生时患有泄殖腔畸形，半阴道与膀胱相连。反复出现尿路感染和膀胱输尿管反流。9个月大时，她接受了后矢状位肛门直肠成形术以进行直肠拖出术，但泌尿生殖部分未得到矫正。她反复出现尿路感染。膀胱测压显示逼尿肌无反射和膀胱容量增大。膀胱镜检查显示共同通道长度超过3厘米。在14个月大时进行了泌尿生殖重建。将与阴道相连的部分膀胱壁用于延长阴道，以使阴道能够下拉至会阴。术后患者接受了阴道扩张和间歇性导尿。
