Maurice Matthew J, Meeks Joshua J, Smith Norm D
Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Can J Urol. 2008 Aug;15(4):4194-5.
Patients with neurogenic bladder (NGB) from spinal cord injury (SCI) are at increased risk for developing bladder cancer. The choice of urinary diversion in patients with NGB and bladder cancer remains controversial and is dependent on patient preference, manual dexterity, social support, and renal function. We describe the outcome of a man with NGB from SCI who developed bladder cancer, underwent cystectomy with creation of an orthotopic neobladder, and now voids by Valsalva. To our knowledge, we report the first successful use of an orthotopic neobladder in a patient with NGB after radical cystectomy for bladder cancer.
脊髓损伤（SCI）所致神经源性膀胱（NGB）患者患膀胱癌的风险增加。NGB合并膀胱癌患者的尿流改道方式选择仍存在争议，这取决于患者的偏好、手部灵活性、社会支持以及肾功能。我们描述了一名因SCI导致NGB的男性患者的情况，该患者患膀胱癌后接受了膀胱切除术并创建了原位新膀胱，目前通过瓦尔萨尔瓦动作排尿。据我们所知，我们报道了首例膀胱癌根治性膀胱切除术后NGB患者成功使用原位新膀胱的病例。
