Ranch T, Fall M, Henriksson C, Nilson A E, Pettersson S
Urol Int. 1985;40(2):82-7. doi: 10.1159/000281038.
The urodynamic consequences of renal autotransplantation and pyelocystostomy were studied in 17 male and 3 female patients. The indications of the procedure were urothelial tumor of the upper urinary tract, remaining outflow obstruction after conventional pyeloplasty and recurrent stones. The mean observation time was 31 months (range 3-50 months). The micturition flow rate was unchanged. There was an insignificant increase in residual urine. No evidence of any clinically significant disturbance of the sensory or motor bladder innervation or reduction of the functional bladder capacity was found. Urethrocystography showed transient dilatation of calyces at micturition. Urinary tract infections, when present, had the same pattern as preoperatively. Thus, autotransplantation of the kidney with a wide, direct pyelocystostomy is consistent with essentially normal urodynamics of the transplanted renal pelvis and the bladder.
对17例男性和3例女性患者进行了肾自体移植和肾盂膀胱吻合术的尿动力学后果研究。该手术的适应症为上尿路尿路上皮肿瘤、传统肾盂成形术后仍存在的流出道梗阻和复发性结石。平均观察时间为31个月（范围3 - 50个月）。排尿流速未改变。残余尿量有不显著增加。未发现感觉或运动性膀胱神经支配有任何临床显著紊乱或功能性膀胱容量减少的证据。尿道膀胱造影显示排尿时肾盂有短暂扩张。存在尿路感染时，其模式与术前相同。因此，采用宽大、直接的肾盂膀胱吻合术进行肾自体移植与移植肾盂和膀胱基本正常的尿动力学一致。
