Department of Urology, Hokkaido University, Graduate School of Medicine, Sapporo, 060-8638, Japan.
Urology. 2010 Jul;76(1):112-4. doi: 10.1016/j.urology.2009.08.046. Epub 2009 Oct 28.
A rare case of urethral construction using flipped anterior bladder wall tube in an 8-year-old girl with complete disruption of the urethra and vagina accompanying pelvic fracture was reported. Following a split of the pubic symphysis, the vagina was reconstructed with end-to-end anastomosis. The neourethra was constructed tubularizing and flipping anterior bladder wall flap caudally to proximal site of the original urethra after fascial sling procedure. After catheter removal, this girl has been continent and voided normally. In conclusion, flipped anterior bladder wall tube technique for urethral construction is suitable in prepubertal girls with complete disruption of the urethra.
报告了一例罕见的 8 岁女孩病例，该患者因骨盆骨折伴完全性尿道和阴道断裂，采用翻转的前膀胱壁管进行尿道重建。耻骨联合劈开后，阴道采用端端吻合进行重建。在筋膜吊带手术后，将管状翻转的前膀胱壁瓣向近端原始尿道的近侧方向翻转，形成新的尿道。导管拔除后，该女孩能够正常控制和排尿。总之，翻转的前膀胱壁管技术适用于尿道完全断裂的青春期前女孩。
