Altobelli Emanuela, Bove Alfredo M, Sergi Federico, Buscarini Maurizio
Campus Biomedico, Urology Roma, Rome, Italy.
Curr Urol. 2013 Feb;6(4):212-5. doi: 10.1159/000343542. Epub 2013 Feb 8.
To report a case of severe hydronephrosis 20 years after bladder exstrophy (BE) repair, managed by bilateral ureteral tapering and secondary ureteroneocystostomy.
A 21-year-old woman with a history of BE and ureteral reimplantation, presented with hematuria-dysuria syndrome and recurrent febrile urinary tract infections. After counselling, she elected to undergo bilateral ureteral tapering and second ureteroneocystostomy.
Hydronephrosis secondary to ureteralvesical stricture in BE patients can be successfully managed with ureteral reimplantation associated to ureteral tapering even after a prior reimplantation.
报告一例膀胱外翻(BE)修复术后20年出现严重肾积水的病例,通过双侧输尿管缩窄和二期输尿管膀胱吻合术进行治疗。
一名21岁有膀胱外翻和输尿管再植病史的女性,出现血尿-排尿困难综合征和复发性发热性尿路感染。在咨询后,她选择接受双侧输尿管缩窄和二期输尿管膀胱吻合术。
即使在先前进行过再植手术的情况下,对于膀胱外翻患者继发于输尿管膀胱狭窄的肾积水,通过输尿管再植联合输尿管缩窄也可成功治疗。