Johnin Kazuyoshi, Narita Mitsuhiro, Kim Chul Jang, Wakabayashi Yoshihiko, Yoshiki Tatsuhiro, Okada Yusaku
Department of Urology, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu-city, Shiga 520-2192, Japan.
J Pediatr Urol. 2007 Jun;3(3):243-6. doi: 10.1016/j.jpurol.2006.06.002. Epub 2006 Jul 28.
Bilateral single ectopic ureters with hypoplastic bladder are rare and difficult to treat. Urinary diversion (e.g. by ileal conduit) is usually performed because of small bladder capacity. We report a case treated by staged operation without urinary diversion or bladder augmentation. The outcome shows that ureterovesicostomy between the dilated ureter and the bladder is a feasible method to increase capacity for bilateral single ectopic ureters with hypoplastic bladder.
双侧单一异位输尿管合并膀胱发育不全罕见且治疗困难。由于膀胱容量小，通常进行尿流改道（如回肠代膀胱术）。我们报告一例采用分期手术治疗，未进行尿流改道或膀胱扩大术的病例。结果表明，在扩张的输尿管与膀胱之间进行输尿管膀胱吻合术是增加双侧单一异位输尿管合并膀胱发育不全患者膀胱容量的一种可行方法。
