Frohneberg D H, Hohenfellner R, Straub E
Eur Urol. 1983;9(3):133-8. doi: 10.1159/000474067.
Experience with ureterosigmoidostomy (US) using a reflux prevention technique in 38 of 48 cases of bladder exstrophy is reviewed. During a follow-up period of 14 years, the results were excellent as to morphological changes of the upper urinary tract, incontinence, psychological development and social behavior. Within their families the patients are considered healthy. Even in children with benign disease, US with reflux prevention performed during the second year of life is the operation of choice for urinary diversion. In the postoperative follow-up it is recommended that sigmoidoscopy be performed once a year in addition to routine controls of the upper urinary tract and metabolic balance.
回顾了48例膀胱外翻患者中38例采用防反流技术行输尿管乙状结肠吻合术（US）的经验。在14年的随访期内，上尿路的形态变化、尿失禁、心理发育和社会行为等方面的结果均非常好。在其家庭中，患者被认为是健康的。即使是患有良性疾病的儿童，在生命的第二年进行的具有防反流功能的US也是尿流改道的首选手术。在术后随访中，除了对上尿路和代谢平衡进行常规检查外，建议每年进行一次乙状结肠镜检查。
