Department of Pediatric surgery, Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, UT 160012, India.
J Pediatr Urol. 2012 Feb;8(1):51-4. doi: 10.1016/j.jpurol.2010.11.004. Epub 2010 Dec 16.
To determine the usefulness of infra-umbilical mini-vesicostomy in infants with posterior urethral valves (PUV), in developing countries. This new technique facilitates clean intermittent catheterization (CIC) and overnight bladder drainage, which have been effectively used for the treatment of valve bladders in the developed world.
A retrospective analysis of the records of three infants who underwent a mini-vesicostomy between 2005-2009 was done. All were put on CIC in the neonatal period. Monitoring of renal parameters, bladder function and structural changes in the bladder was done before and after 4 years of CIC.
All three showed a decrease in upper tract dilatation, improvement in cortical function and improvement of bladder compliance at the end of 4 years. Two patients are on CIC through vesicostomy and can pass a good stream of urine per urethraly, and in one the vesicostomy has been closed.
Mini-vesicostomy is a useful option to allow CIC on a long-term basis in children with PUV. There were no complications with this technique in this small group of patients, and it has been well accepted by their families.
探讨在发展中国家，经脐下腹壁小造口术在治疗后尿道瓣膜（PUV）婴儿中的应用价值。该新技术有助于清洁间歇性导尿（CIC）和夜间膀胱引流，在发达国家，这两种方法已被有效用于治疗瓣膜性膀胱。
对 2005 年至 2009 年间接受小造口术的 3 名婴儿的病历进行回顾性分析。所有婴儿均在新生儿期接受 CIC。在进行 4 年 CIC 前后，监测肾功能参数、膀胱功能和膀胱结构变化。
3 例患儿均出现上尿路扩张减轻、皮质功能改善和膀胱顺应性改善。2 例患儿通过小造口进行 CIC，可以经尿道排出良好的尿液，1 例患儿的小造口已关闭。
小造口术是一种有用的选择，可以允许 PUV 患儿长期进行 CIC。在这组小患者中，该技术没有并发症，并且得到了他们家庭的认可。
