Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
J Pediatr Urol. 2018 Jun;14(3):296-297. doi: 10.1016/j.jpurol.2018.01.026. Epub 2018 Mar 15.
This video provides a case report of a 3 year old girl with epispadia and the highlights of the surgery. A cystoscopic guided bladder neck plication was performed to achieve continence. Key points include: (1) Skin incision planning; (2) Cutaneous flap liberation to create a new urethra; (3) Complete bladder neck release to allow a controlled plication; (4) Use of cystoscopy to achieve the ideal bladder neck closure; (5) Bladder neck manipulation to achieve continence.
本视频提供了一例 3 岁女孩的病例报告，重点介绍了手术过程。采用经膀胱镜引导的膀胱颈部折叠术实现控尿。要点包括：（1）皮肤切口规划；（2）皮瓣游离以创建新尿道；（3）完全松解膀胱颈部，以允许进行可控折叠；（4）使用膀胱镜实现理想的膀胱颈部关闭；（5）膀胱颈部操作以实现控尿。
