Meuli Joachim N, Grilo Nuno, Roth Beat, di Summa Pietro G
Department of Plastic and Hand Surgery, Lausanne University Hospital, Switzerland.
Department of Urology, Lausanne University Hospital, Switzerland.
Urol Case Rep. 2022 Jul 4;44:102145. doi: 10.1016/j.eucr.2022.102145. eCollection 2022 Sep.
Bladder exstrophy requires staged reconstruction to achieve control over bladder function. In case of failure, bladder neck closure with augmentation enterocystoplasty and appendicovesicostomy is a good surgical option. We report the case of a girl born with bladder exstrophy who, despite multiple surgical reconstructions in childhood, developed severe stress incontinence with contracted bladder and recurrent urinary tract infections during adolescence. The patient had a large abdominal pannus and in order to realize the appendicovesicostomy, we combined this intervention with a body contouring abdominoplasty to achieve tension free closure.
膀胱外翻需要分期重建以实现对膀胱功能的控制。若重建失败，膀胱颈闭合术联合扩大膀胱成形术和阑尾膀胱造口术是一种不错的手术选择。我们报告了一名患有膀胱外翻的女孩的病例，该女孩尽管在儿童期接受了多次手术重建，但在青春期出现了严重的压力性尿失禁，伴有膀胱挛缩和反复尿路感染。患者有巨大的腹部赘肉，为了实施阑尾膀胱造口术，我们将此手术与身体塑形腹壁成形术相结合，以实现无张力闭合。
