Light J K, Scott F B
J Urol. 1983 Apr;129(4):738-40. doi: 10.1016/s0022-5347(17)52336-8.
The AS792 artificial urinary sphincter was implanted in 11 incontinent patients with the epispadias-exstrophy complex. To date 10 patients (91 per cent) are totally continent of urine with normal renal function and intact urinary systems. The recent reports concerning success with bladder neck reconstruction in this syndrome are reviewed. Owing to the relatively poor success of this procedure in achieving total urinary continence it is recommended strongly that insertion of the artificial urinary sphincter be the initial anti-incontinence procedure for these patients. The success rate with the artificial sphincter currently is superior to any form of bladder neck reconstruction in patients with the epispadias-exstrophy complex.
AS792型人工尿道括约肌被植入11例患有尿道上裂-膀胱外翻综合征的尿失禁患者体内。迄今为止，10例患者（91%）完全控尿，肾功能正常，泌尿系统完整。本文回顾了近期有关该综合征膀胱颈重建术成功的报道。鉴于该手术在实现完全尿失禁方面成功率相对较低，强烈建议将人工尿道括约肌植入作为这些患者的初始抗失禁手术。目前，人工括约肌在尿道上裂-膀胱外翻综合征患者中的成功率优于任何形式的膀胱颈重建术。
