Studer U E, Casanova G A, Luisier J, Zingg E J
Clinique Urologique, Université de Berne, Hôpital de l'Ile, Suisse.
J Urol (Paris). 1988;94(5-6):273-7.
An internal urinary diversion after radical cystoprostatectomy has been performed in 24 male patients. The bladder substitute was made from an ileal segment, opened along its antimesenteric border and folded twice, according to Goodwin's "cup-patch technique". After an observation time of 3 months to 3 years, the results are in general good: no signs of pyelonephritis or metabolic changes, necessitating a substitution, have been observed. The increase of the bladder substitute's capacity is parallel to the improvement of urinary continence. In general, the latter is achieved after 1-3 months during the day, and after 2-6 months during the right. According to our experience, preservation of the neurovascular bundles responsible for erection, helps to regain continence. However, loss of several drops of urine may occur, reason why half of our patients wear a safety pad later than 6 months after surgery, at least during the night.
24例男性患者在根治性膀胱前列腺切除术后进行了体内尿流改道。膀胱替代物由一段回肠制成，根据古德温的“杯状补片技术”，沿其系膜对侧缘打开并折叠两次。经过3个月至3年的观察期，总体结果良好：未观察到肾盂肾炎或代谢变化的迹象，也无需进行替代。膀胱替代物容量的增加与尿失禁改善情况平行。一般来说，白天1至3个月、夜间2至6个月后可实现尿失禁改善。根据我们的经验，保留负责勃起的神经血管束有助于恢复尿失禁。然而，可能会出现几滴尿液漏出的情况，因此我们一半的患者在术后6个月后至少在夜间会使用安全护垫。
