Schillinger J F, Wiley M J
Urology. 1984 Nov;24(5):434-8. doi: 10.1016/0090-4295(84)90316-9.
A review of bladder exstrophy experience at our institution was undertaken with reference to penile adequacy and intersymphyseal distance. Drift of the symphysis apart even with iliac osteotomy was noted to occur within two years of initial closure but remained stable after three years. This drift can be prevented if the sacral tuberous and sacral spinous ligaments are sectioned. Further, the adequacy of the phallus seems to depend directly on the intersymphyseal distance. Thus, we suggest a variation in the staged approach to bladder exstrophy repair with these facts in mind.
我们机构对膀胱外翻的治疗经验进行了回顾，涉及阴茎发育情况和耻骨联合间距离。即便进行了髂骨截骨术，耻骨联合仍会在初次闭合后的两年内出现分离移位，但三年后保持稳定。若切断骶结节韧带和骶棘韧带，这种移位是可以预防的。此外，阴茎的发育情况似乎直接取决于耻骨联合间距离。因此，基于这些事实，我们建议在膀胱外翻修复的分期手术方法上做出调整。
