Messing E M, Dibbell D G, Belzer F O
J Urol. 1985 Dec;134(6):1202-5. doi: 10.1016/s0022-5347(17)47687-7.
A 20-year-old patient with the prune belly syndrome presented with urinary retention and renal failure. In preparation for renal transplantation bladder rehabilitation, consisting of urethral dilation, reduction cystoplasty and detrusor augmentation with paired rectus femoris pedicle flaps, was undertaken. This procedure enabled the patient to empty the bladder totally by spontaneous voiding. Successful renal transplantation was performed subsequently and he has not required intermittent or continuous catheterization. The surgical approach and technique are described, and their application to other conditions of detrusor hypotonicity is discussed.
一名患有梅干腹综合征的20岁患者出现尿潴留和肾衰竭。为准备肾移植进行了膀胱康复治疗,包括尿道扩张、膀胱缩小成形术以及用双股直肌蒂皮瓣进行逼尿肌增强术。该手术使患者能够通过自主排尿完全排空膀胱。随后成功进行了肾移植,且他无需间歇性或持续性导尿。本文描述了手术方法和技术,并讨论了其在其他逼尿肌低张性疾病中的应用。