Williams M P, Katz Z, Rickwood A M
Department of Paediatric Urology, Royal Liverpool Children's Hospital, England.
J Pediatr Surg. 1988 Mar;23(3):212-5. doi: 10.1016/s0022-3468(88)80724-3.
We treated five girls with congenital neuropathic bladder, who had genuine stress incontinence combined with reduced detrusor compliance and/or detrusor hyperreflexia, by simultaneous Marshall-Marchetti-Krantz bladder-neck suspension and bladder augmentation using a sigmoid or ileocecal pouch. All are dry on 3 to 4 hourly intermittent self-catheterization and we suggest that this method represents a useful and much cheaper alternative to the artificial urinary sphincter.
我们对五名患有先天性神经源性膀胱的女孩进行了治疗，她们存在真性压力性尿失禁，合并逼尿肌顺应性降低和/或逼尿肌反射亢进，采用Marshall-Marchetti-Krantz膀胱颈悬吊术与使用乙状结肠或回盲肠袋进行膀胱扩大术同时进行的方法。通过每3至4小时进行一次间歇性自我导尿，她们均已不再遗尿，并且我们认为这种方法是人工尿道括约肌的一种有用且成本低得多的替代方法。
