O'Sullivan D C, Barrett D M
Beaumont Hospital, Dublin, Ireland.
Urol Clin North Am. 1991 Nov;18(4):677-86.
Gradually, the lifestyle that can be offered to a patient who requires a cystectomy or has a small incontinent bladder is being improved. It is possible to combine sphincter placement with cystoplasty and neobladder formation if the surgery is carried out with care. Further development of the sphincters is required before their use around bowel segments will provide consistently safe results. Concurrently, development of the totally artificial bladder is progressing toward an ideal of a system that is biocompatible and preserves renal function.
逐渐地,对于需要进行膀胱切除术或膀胱容量小且失禁的患者,所能提供的生活方式正在得到改善。如果手术操作谨慎,将括约肌植入与膀胱成形术和新膀胱形成相结合是可行的。在括约肌用于肠段周围之前,还需要进一步改进,以确保能持续获得安全的效果。与此同时,全人工膀胱的研发正朝着一个生物相容性好且能保护肾功能的理想系统迈进。