Ritchey M L, Kramer S A, Kelalis P P
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905.
J Urol. 1988 Jun;139(6):1278-81. doi: 10.1016/s0022-5347(17)42892-8.
Vesical neck reconstruction was performed in 50 male and 12 female patients with the epispadias-exstrophy complex. Of these patients 45 had epispadias and 17 had classical exstrophy. Patient age ranged from 3 to 27 years, with a mean age of 12.6 years. Followup after vesical neck reconstruction averaged 11.6 years. Of the 45 patients with epispadias 35 (78 per cent) and of the 17 with bladder exstrophy 13 (76 per cent) are continent, for an over-all continence rate of 77 per cent. An adequate bladder capacity was one of the most important determinants of continence. In 11 patients with a small capacity or poorly compliant bladder augmentation cystoplasty was combined with vesical neck reconstruction to increase vesical capacity and to produce complete urinary continence.
对50例男性和12例女性膀胱外翻-尿道上裂复合畸形患者进行了膀胱颈重建术。这些患者中，45例患有尿道上裂，17例患有典型膀胱外翻。患者年龄在3至27岁之间，平均年龄为12.6岁。膀胱颈重建术后的随访平均为11.6年。45例尿道上裂患者中有35例（78%）、17例膀胱外翻患者中有13例（76%）实现了控尿，总体控尿率为77%。足够的膀胱容量是控尿的最重要决定因素之一。11例膀胱容量小或顺应性差的患者，膀胱扩大成形术与膀胱颈重建术联合进行，以增加膀胱容量并实现完全尿控。
