Schoenberg H W, Shah J P, Kyker J, Gregory J G
J Urol. 1977 Apr;117(4):501-4. doi: 10.1016/s0022-5347(17)58512-2.
Alternative methods to supravesical urinary diversion in myelodysplastic children, which protect the upper urinary tracts and provide urinary continence, are now available in the form of prosthetic devices and intermittent clean catheterization with or without ancillary pharmacologic agents. We believe that these alternatives deserve a trial before proceeding to supravesical urinary diversion. Short-term evaluation indicated improvements and stability in most urinary tracts treated by these methods but we recognized that, just as with the ileal conduit diversion, a longer period of followup is required before definite statements can be made about the long-term results. However, if the criteria of sterile urine and bladder emptying at physiological pressure ranges are strictly met we would suspect a favorable outcome.
对于患有脊髓发育不良的儿童，目前有一些替代膀胱上尿路改道的方法，这些方法可以保护上尿路并实现尿失禁控制，其形式包括假体装置以及有无辅助药物的间歇性清洁导尿。我们认为，在进行膀胱上尿路改道之前，这些替代方法值得一试。短期评估表明，采用这些方法治疗的大多数尿路情况都有改善且保持稳定，但我们也认识到，正如回肠导管改道一样，在对长期结果做出明确结论之前，还需要更长时间的随访。然而，如果严格满足无菌尿液和在生理压力范围内膀胱排空的标准，我们预计会有良好的结果。
