Månsson W, Colleen S
Department of Urology, University Hospital, Lund, Sweden.
Scand J Urol Nephrol. 1990;24(1):53-6. doi: 10.3109/00365599009180360.
A detubularized right colonic segment was used as bladder substitute in ten men who underwent cystoprostatectomy for carcinoma of the bladder. Postoperative complications unrelated to the replacement procedure occurred in three cases. Stricture of the urethrocaecal anastomosis developed during follow-up in one case. Day-time continence with convenient micturition intervals was achieved in all cases. Nocturnal continence was also maintained if the patients awoke once or twice to void. Urodynamic studies revealed adequate capacity, little or no residual urine and pressure waves of low amplitude at high-level filling. The technique employed for creation of a bladder substitute offers the advantage of technical simplicity. The bowel it utilizes is of secondary importance for intestinal absorption, and the result is a low-pressure, capacious neobladder.
在10例因膀胱癌行膀胱前列腺切除术的男性患者中，采用去管化右结肠段作为膀胱替代物。3例出现了与替代手术无关的术后并发症。随访期间有1例发生尿道 - 盲肠吻合口狭窄。所有患者均实现了日间可控排尿且排尿间隔方便。如果患者夜间醒来排尿一两次，也能保持夜间控尿。尿动力学研究显示容量充足，残余尿量很少或没有，高容量充盈时压力波振幅低。用于创建膀胱替代物的技术具有操作简单的优点。它所利用的肠段对肠道吸收的影响较小，结果是形成一个低压、大容量的新膀胱。
