Toggenburg H, Brand H
Helv Chir Acta. 1979 Aug;46(3):405-8.
After any resection of tumors near the ostium you have to expect the vesicoureteral reflux as a complication. If the upper urinary tract is primarily normal, this reflux is of no clinical importance (if of course it is diagnosed and controlled). The resection of the ostium, to be radical, can be done without any doubt. The upper urinary tract is rarely hurted. Concerning out patients it is impossible to see how often the tumor spread in the upper urinary tract by the reflux. However, one must consider it, as one of our cases shows.
在对靠近尿道口的肿瘤进行任何切除术后,都必须预料到膀胱输尿管反流会作为一种并发症出现。如果上尿路最初是正常的,这种反流在临床上并不重要(当然前提是它被诊断出来并得到控制)。为了达到根治目的,尿道口的切除无疑是可以进行的。上尿路很少受到损伤。对于门诊患者,很难看出肿瘤通过反流在上尿路扩散的频率有多高。然而,正如我们的一个病例所示,必须考虑到这一点。