Rampal M, Coulange C, Leremboure H, Albert P, Hernandez F
Service d'Urologie, Hôpital de la Timone, Marseille.
Ann Urol (Paris). 1988;22(3):220-3.
45 patients underwent urinary diversion by caecocystoplasty following simple or radical cystectomy with or without prostatectomy. The immediate postoperative course of such a major operation was surprisingly simple both in terms of the gastrointestinal tract (due to the use of automatic sutures) and in terms of the urinary tract. Micturition and diurnal continence were perfect. The few cases of incontinence related to high caecal pressure were controlled by perineal reeducation and/or the prescription of oxybutynin. A Peniflow apparatus controls the inevitable enuresis of these neobladders when the trigone has not been preserved. The upper tract is perfectly protected. The authors consider that the caecal reservoir warrants a place of choice in bladder replacement after cystectomy.
45例患者在单纯或根治性膀胱切除术（伴或不伴前列腺切除术）后接受了盲肠膀胱扩大术进行尿流改道。无论是从胃肠道方面（由于使用了自动缝合）还是从泌尿道方面来看，这种大手术术后的直接恢复过程都出人意料地顺利。排尿和日间控尿情况良好。少数与盲肠压力过高相关的尿失禁病例通过会阴再训练和/或开具奥昔布宁得以控制。当未保留膀胱三角区时，Peniflow装置可控制这些新膀胱不可避免的遗尿。上尿路得到了完美保护。作者认为，盲肠储尿囊在膀胱切除术后的膀胱替代术中值得作为首选。
