Woodhouse C R, Malone P R, Cumming J, Reilly T M
Institute of Urology, St Peter's Hospital, London.
Br J Urol. 1989 Jan;63(1):53-7. doi: 10.1111/j.1464-410x.1989.tb05123.x.
A continent urinary diversion was formed for 16 patients using the Mitrofanoff principle for continence. As originally described, this system used the appendix tunnelled into the bladder to form a continent catheterisable vesicostomy. We have expanded the technique and have used all available narrow tubes as continent conduits (ureter 10 cases, appendix 5, Fallopian tube 1). The urine container was made of large and small intestine and bladder in several combinations. The system has been very satisfactory: 14 patients were continent and able to catheterise; 1 required a revision to achieve continence and 1 awaits revision; 3 patients required revision procedures for stricture.
采用米氏原理为16例患者构建可控性尿流改道术以实现控尿。按照最初的描述，该系统利用阑尾经隧道植入膀胱以形成可控性膀胱造瘘术。我们对该技术进行了拓展，使用了所有可用的细管作为可控性通道（输尿管10例、阑尾5例、输卵管1例）。尿液储器由大肠、小肠和膀胱以多种组合制成。该系统效果非常令人满意：14例患者能够控尿并可自行导尿；1例患者需行修复手术以实现控尿，1例等待修复；3例患者因狭窄需行修复手术。
