Friedlander Daniel A, Lue Kathy M, Michaud Jason E, Gearhart John P, Redett Richard J, Di Carlo Heather N
Division of Pediatric Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Urol Case Rep. 2017 Apr 19;13:42-44. doi: 10.1016/j.eucr.2017.03.004. eCollection 2017 Jul.
Urinary continence can be achieved in up to 90% of patients with bladder exstrophy. However, select patients remain incontinent despite modern reconstruction. Repeat operations for continence combined with the congenital pelvic abnormalities of exstrophy put patients at risk for urinary fistula formation. We report the use of a rectus muscle flap in the repair of two concomitant vesicocutaneous and urethrocutaneous fistulae in a patient with classic bladder exstrophy.
膀胱外翻患者中，高达90%的人可实现尿失禁。然而，尽管进行了现代重建手术，仍有部分患者存在尿失禁问题。为解决尿失禁问题而进行的重复手术，再加上膀胱外翻的先天性骨盆异常，使患者面临形成尿瘘的风险。我们报告了在一名典型膀胱外翻患者中使用腹直肌皮瓣修复同时存在的膀胱皮肤瘘和尿道皮肤瘘的情况。
