Nill T G, Peller P A, Kropp K A
Department of Surgery, Medical College of Ohio, Toledo.
J Urol. 1990 Aug;144(2 Pt 2):559-61; discussion 562-3. doi: 10.1016/s0022-5347(17)39522-8.
We reviewed the first 25 urethral lengthening and reimplantation procedures done at our institution in 24 patients. All patients had failed to achieve dryness on medical or surgical therapy for total urinary incontinence. A total of 32 patients had neurogenic incontinence. The patients were followed for 1.5 to 7 years. Late complications included catheterization difficulties, vesicoureteral reflux, febrile urinary tract infection, calculi and peritonitis. Reoperations were required in 19 patients primarily because of our initial failure to recognize the necessity of providing a low pressure, high capacity reservoir. The reoperation rate on the continence mechanism was low. Of 24 patients 20 are continent and require no pads or diapers.
我们回顾了在我们机构为24例患者实施的最初25例尿道延长和再植手术。所有患者在接受针对完全性尿失禁的药物或手术治疗后均未能实现干爽。共有32例患者为神经源性尿失禁。对这些患者进行了1.5至7年的随访。晚期并发症包括导尿困难、膀胱输尿管反流、发热性尿路感染、结石和腹膜炎。19例患者需要再次手术，主要原因是我们最初未能认识到提供低压、大容量储尿囊的必要性。控尿机制的再次手术率较低。24例患者中有20例实现了控尿，无需使用尿垫或尿布。
