Lockhart J L, Bejany D, Politano V A
J Urol. 1986 May;135(5):969-71. doi: 10.1016/s0022-5347(17)45941-6.
Vesical augmentation procedures were performed on 15 patients for neurogenic bladder disease and urinary incontinence. Enterocystoplasty with ileum, cecum and sigmoid was used associated with different operations to prevent upper tract deterioration or urinary incontinence. The small bowel stored larger amounts of urine at a lower maximal detrusor pressure at capacity than the large bowel. All ureterointestinal and ureterovesical reimplantations were successful, including 5 ureteroileal with the Camey procedure. The 2 failures, characterized by persistent urinary incontinence, included a male patient who refused intermittent catheterization and a girl with persistent hypersecretion of mucus and recurrent urinary tract infections.
对15例神经源性膀胱疾病和尿失禁患者进行了膀胱扩大术。采用回肠、盲肠和乙状结肠行肠膀胱扩大术，并联合不同手术以预防上尿路恶化或尿失禁。与大肠相比，小肠在较低的膀胱逼尿肌最大容量压力下能储存更多尿液。所有输尿管肠吻合术和输尿管膀胱再植术均成功，其中5例行Camey手术的输尿管回肠吻合术。2例失败病例均表现为持续性尿失禁，1例为拒绝间歇性导尿的男性患者，另1例为黏液分泌持续亢进且反复发生尿路感染的女孩。
