Peyret C, Géraud M, Conquy S, Martinache P R, Flam T, Zerbib M, Steg A, Debré B
Clinique Urologique, Hôpital Cochin, Paris.
J Urol (Paris). 1991;97(1):37-42.
The results of 40 consecutive patients who underwent bladder replacement following cystoprostatectomy for invasive bladder cancer are reported. A 30 cm detubularized ileal segment was used to make the neobladder. Mean follow-up was 19 months (over 2 years in 17 patients). All patients achieved diurnal continence. Nocturnal continence was obtained in 70.5% of patients: 41% had no leakage and nocturia less than 2, while 29.5% had some occasional leakage. Urodynamic evaluation showed the average peak flow to be at 18.3 ml/s and an average neobladder capacity of 410 ml. Six patients had spontaneous contractions of the enteric bladder of greater than 40 cm H20, always associated with elevated urethral pressure. Post-void residue was smaller than 100 cc in all cases. This procedure is simple to do, and led to an excellent diurnal continence, although it cannot assure nocturnal continence in every single patient.
报告了40例因浸润性膀胱癌行膀胱前列腺切除术后接受膀胱替代术患者的结果。使用一段30厘米去管化的回肠段制作新膀胱。平均随访时间为19个月（17例患者随访超过2年）。所有患者均实现日间控尿。70.5%的患者实现夜间控尿：41%无漏尿且夜尿少于2次，而29.5%有偶尔漏尿。尿动力学评估显示平均峰值尿流率为18.3毫升/秒，新膀胱平均容量为410毫升。6例患者的肠道膀胱出现大于40厘米水柱的自发收缩，均伴有尿道压力升高。所有病例的残余尿量均小于100立方厘米。该手术操作简单，可实现极佳的日间控尿，尽管无法确保每位患者都能实现夜间控尿。
