Purcell M H, Duckro P N, Schultz K, Gregory J G
J Urol. 1987 May;137(5):945-7. doi: 10.1016/s0022-5347(17)44304-7.
A total of 6 children underwent primary ureterosigmoidostomy diversion between 1972 and 1979. Despite preoperative testing of rectal competence all 6 children now experience rectal leakage. Behavioral biofeedback has been used in a 7-year-old boy who had learned to isolate and to contract the perineal muscles appropriately by 12 months of followup. The incidence of incontinence has been reduced from 15 to 5 per cent of the total hours recorded. The amount of waking hours in which the patient is wet has decreased from 31 to 6 per cent. Satisfaction of the child and parents is high.
1972年至1979年间,共有6名儿童接受了原发性输尿管乙状结肠吻合术改道。尽管术前对直肠功能进行了测试,但所有6名儿童目前均出现直肠渗漏。一名7岁男孩接受了行为生物反馈治疗,经过12个月的随访,他已学会适当分离和收缩会阴肌肉。失禁发生率已从记录总时长的15%降至5%。患者清醒时尿床的时长已从31%降至6%。患儿及其父母的满意度较高。