Pintér A B, Farkas A P
Surgical Unit of the University, Children's Hospital, Pécs, Hungary.
J Pediatr Surg. 1990 Dec;25(12):1285-6. doi: 10.1016/0022-3468(90)90534-g.
A 13-year-old girl with multiple genitourinary malformations, incomplete bladder exstrophy, urethral duplication with single bladder, septate vagina, and total urinary incontinence is presented. Prior to admission she had undergone surgery for teratoma and calculi of the bladder and partial fecal incontinence. A continent urinary diversion was done by bladder augmentation using a cecal-colonic segment and by surgical closure of the bladder neck. The distal end of the appendix was brought to the skin as an inconspicuous, easily catheterizable, watertight stoma, our modification of the Mitrofanoff procedure. Excision of the vaginal septum, creation of an introitus, and unification of the split clitoris improved the cosmetic appearance of the external genitalia and improved the outlook for a normal sexual life and pregnancy.
本文介绍了一名13岁女孩，她患有多种泌尿生殖系统畸形，包括膀胱外翻不全、膀胱单一的尿道重复、阴道纵隔以及完全性尿失禁。入院前，她曾接受过膀胱畸胎瘤和结石手术以及部分大便失禁手术。通过使用盲肠-结肠段进行膀胱扩大术和手术关闭膀胱颈，完成了可控性尿流改道。阑尾远端被引至皮肤表面，形成一个不显眼、易于插管且防水的造口，这是我们对米氏手术的改良。切除阴道纵隔、造口以及融合分开的阴蒂改善了外生殖器的外观，并改善了正常性生活和怀孕的前景。
