Zaontz M R, Gibbons M D
J Urol. 1984 Nov;132(5):982-4. doi: 10.1016/s0022-5347(17)49977-0.
Complications after transurethral ablation of posterior urethral valves frequently are iatrogenic because of urethral injury resulting in stricture or sphincteric incontinence. Smaller instrumentation and improved optics have made primary valve destruction safer and more reliable. The concept of early neonatal vesicostomy with delayed transurethral valve ablation allows maximal upper tract protection as well as somatic and urethral growth. This approach further reduces the possibility of urethral or sphincteric injury. We report our technique of antegrade incision of posterior urethral valves per vesicostomy, combining the advantages of early optimal neonatal vesicostomy drainage, avoidance of any anterior urethral instrumentation, and a technically easier, reliable and safe approach to posterior urethral valve destruction.
经尿道后尿道瓣膜消融术后的并发症常常是医源性的，因为尿道损伤会导致狭窄或括约肌性尿失禁。更小的器械和改进的光学技术使原发性瓣膜破坏更安全、更可靠。早期新生儿膀胱造瘘并延迟经尿道瓣膜消融的理念可最大程度地保护上尿路以及促进躯体和尿道生长。这种方法进一步降低了尿道或括约肌损伤的可能性。我们报告了经膀胱造瘘顺行切开后尿道瓣膜的技术，该技术结合了早期最佳新生儿膀胱造瘘引流的优点、避免任何前尿道器械操作以及一种技术上更简便、可靠且安全的后尿道瓣膜破坏方法。
