Kramer S A, Kelalis P P
J Urol. 1982 Aug;128(2):290-3. doi: 10.1016/s0022-5347(17)52891-8.
Between 1946 and 1980, 82 male and 12 female patients with epispadias were evaluated at our institution. Factors critical to the achievement of complete continence include deferral of an operation until the patient is at least 3 years old, a well developed bladder with adequate capacity and musculature, and maturation of the prostate at puberty in boys. Complete continence was obtained in 10 of the 12 female patients (83 per cent). Of 53 incontinent male patients undergoing an operation 18 (34 per cent) obtained complete urinary continence in the initial postoperative period but control was delayed until puberty in 19 additional male patients, for an over-all success rate in 37 of 53 patients (70 per cent). The significant increase in continence with the onset of puberty demonstrates the importance of expectant management of progress in a boy in relation to the potential contribution of prostatic maturation in the development of urinary control.
1946年至1980年间，我院对82例男性和12例女性尿道上裂患者进行了评估。实现完全控尿的关键因素包括：手术推迟到患者至少3岁时进行、膀胱发育良好且容量和肌肉组织充足，以及男孩青春期前列腺成熟。12例女性患者中有10例（83%）实现了完全控尿。在53例接受手术的尿失禁男性患者中，18例（34%）在术后初期实现了完全尿控，但另有19例男性患者直到青春期才实现控尿，53例患者中有37例（70%）总体成功。随着青春期开始控尿能力显著提高，这表明对于男孩，在尿控发育过程中前列腺成熟的潜在作用方面，进行期待性管理的重要性。
