膀胱前列腺切除术后的膀胱替代：实现完全控尿的努力。
Bladder replacement after cystoprostatectomy: efforts to achieve total continence.
作者信息
Reddy P K, Lange P H, Fraley E E
出版信息
J Urol. 1987 Sep;138(3):495-9. doi: 10.1016/s0022-5347(17)43238-1.
Total bladder replacement with tubular sigmoid colon and detubularized ileocecal bowel segments was performed on 17 patients after cystoprostatectomy for bladder cancer. There were few complications and patient acceptance was excellent. Daytime continence was achieved in most patients but voiding patterns were superior with detubularized segments. However, enuresis was common with both segment types. Total urinary continence (day and nighttime continence) was achieved in 7 patients with an artificial urinary sphincter that was activated only at night. Total bladder replacement is an acceptable form of urinary diversion after cystoprostatectomy in appropriate patients.
对17例因膀胱癌行膀胱前列腺切除术后的患者进行了用管状乙状结肠和去管化回盲肠段进行全膀胱置换术。并发症很少，患者接受度良好。大多数患者实现了日间控尿，但去管化肠段的排尿模式更佳。然而，两种肠段类型都常见遗尿。7例患者通过仅在夜间激活的人工尿道括约肌实现了完全尿失禁（日间和夜间控尿）。对于合适的患者，全膀胱置换是膀胱前列腺切除术后一种可接受的尿流改道形式。
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