Stöckle M, Thüroff J W, Riedmiller H, Alken P, Hohenfellner R
Department of Urology, Medical School, University of Mainz, Federal Republic of Germany.
J Pediatr Surg. 1988 Feb;23(2):171-6. doi: 10.1016/s0022-3468(88)80151-9.
From 1984 to 1986, six children from 4 to 13 years of age, received a bladder augmentation by ileocecal cystoplasty (Mainz-pouch technique) because of an iatrogenic functional or morphologic bladder loss. Indications for operation were incontinence due to the low bladder capacity or threat to the upper urinary tract due to ureteral obstruction or vesicorenal reflux. Two of the children had already undergone supravesical urinary diversion by sigmoid conduit. After a follow-up period of 2 to 19 months, (mean 11 months), five of the six children are completely continent. One boy with a known weak sphincter still has slight, but decreasing, enuresis nocturna in periods of complete filling of the pouch, 1 month after the operation. All children are able to void their augmented bladders without residual urine.
1984年至1986年期间，6名4至13岁的儿童因医源性功能性或形态学上的膀胱缺失，接受了回盲部膀胱扩大术（美因茨术式）。手术指征为膀胱容量低导致的尿失禁，或因输尿管梗阻或膀胱输尿管反流对上尿路造成威胁。其中两名儿童已经接受过乙状结肠造瘘术进行膀胱上尿路改道。经过2至19个月（平均11个月）的随访，6名儿童中有5名完全控尿。一名已知括约肌功能较弱的男孩在术后1个月，当贮尿囊完全充盈时仍有轻微但逐渐减少的夜间遗尿。所有儿童均能够排空扩大后的膀胱，无残余尿。
