Kisman O K, Lycklama à Nijeholt A A, van Krieken J H
Department of Urology, State University Hospital of Leiden, The Netherlands.
J Urol. 1991 Oct;146(4):1113-4. doi: 10.1016/s0022-5347(17)38017-5.
Two patients with histologically confirmed interstitial cystitis underwent bladder augmentation procedures (clam cystoplasty and Mainz pouch cystoplasty) because of therapy resistant low abdominal pain and decreased functional bladder capacity. However, symptoms of low abdominal pain and urinary retention (1 patient) persisted, and cystectomy was performed in both patients after 14 and 20 months, respectively. Histological examination of the specimens showed changes in the intestinal areas of the augmented bladder, resembling interstitial cystitis. The etiology of this phenomenon and the possible role of intestinal interstitial cystitis in augmentation failures are discussed.
两名经组织学确诊为间质性膀胱炎的患者，因治疗抵抗性下腹部疼痛和功能性膀胱容量降低，接受了膀胱扩大手术（蛤壳式膀胱成形术和迈因茨袋膀胱成形术）。然而，下腹部疼痛和尿潴留症状（1例患者）持续存在，两名患者分别在14个月和20个月后接受了膀胱切除术。标本的组织学检查显示，扩大膀胱的肠道区域出现了类似间质性膀胱炎的变化。本文讨论了这一现象的病因以及肠道间质性膀胱炎在扩大手术失败中可能起到的作用。
