Kazachkov S A, Derzhavin V M, Bannikov V M, Berulava Z O
Urol Nefrol (Mosk). 1990 Sep-Oct(5):7-10.
The results of plastics of the bladder with local tissues in its exstrophy in 34 children were appraised according to the findings of clinical, functional, and morphological studies. The cosmetic effect was satisfactory in 22 patients, but control over urination remained unsuccessful as a rule. Enuresis after sphincteroplasty was linked with functional insufficiency of the trigonal muscle due to tissue dysembryogenesis. Another component of enuresis was dysfunction of the bladder attended by intravesical hypertension and uninhibited contractions when its size was small. The results of morphological studies allowed the authors to explain the character of the urodynamic disorders and the inefficacy of their nonoperative correction.
根据临床、功能和形态学研究结果，对34例膀胱外翻患儿采用局部组织进行膀胱成形术的结果进行了评估。22例患者的美容效果令人满意，但通常排尿控制仍未成功。括约肌成形术后的遗尿与三角肌组织发育异常导致的功能不全有关。遗尿的另一个因素是膀胱功能障碍，当膀胱体积较小时，伴有膀胱内高压和无抑制性收缩。形态学研究结果使作者能够解释尿动力学障碍的特征及其非手术矫正的无效性。
