Woodside J R, Borden T A
J Urol. 1982 Apr;127(4):744-6. doi: 10.1016/s0022-5347(17)54023-9.
Urinary incontinence is a formidable social handicap in many children with myelodysplasia. Girls in whom pharmacologic therapy and intermittent catheterization fail to alleviate incontinence present particularly difficult management problems. Permanent catheter drainage of the bladder or supravesical urinary diversion frequently has been used solely for control of incontinence. More recently, the artificial sphincter has been used in selected patients. We herein describe the use of a pubovaginal sling to augment bladder outlet resistance in a girl with myelodysplasia. Postoperatively, she remains totally continent on intermittent catheterization.
尿失禁在许多患有脊髓发育不良的儿童中是一个严重的社会障碍。药物治疗和间歇性导尿未能缓解尿失禁的女孩面临着特别棘手的管理问题。膀胱永久性导管引流或膀胱上尿路改道常常仅用于控制尿失禁。最近，人工括约肌已用于特定患者。我们在此描述了在一名患有脊髓发育不良的女孩中使用耻骨阴道吊带增加膀胱出口阻力的情况。术后，她通过间歇性导尿保持完全可控尿状态。
