Pike J G, Berardinucci G, Hamburger B, Kiruluta G
Department of Surgery, Montreal Children's Hospital, Quebec, Canada.
J Pediatr Surg. 1991 Apr;26(4):466-70; discussion 470-1. doi: 10.1016/0022-3468(91)90997-8.
Over a 4-year period, 69 patients with intractable urinary incontinence secondary to myelodysplasia have undergone surgical therapy to try to achieve continence. Preoperative evaluation used uroradiological and urodynamic studies, including measurement of leak point pressure and leak point volume. Twenty-one patients had a procedure to increase outlet resistance, 30 patients had bladder augmentation, and 18 patients had both procedures performed. Fifty-seven of the 69 patients have achieved total continence for a success rate of 83%.
在4年期间，69例因脊髓发育不良导致顽固性尿失禁的患者接受了手术治疗以试图实现控尿。术前评估采用了尿路放射学和尿动力学研究，包括漏点压力和漏点容量的测量。21例患者接受了增加出口阻力的手术，30例患者接受了膀胱扩大术，18例患者同时进行了这两种手术。69例患者中有57例实现了完全控尿，成功率为83%。
