Cendron J, Melin Y, Vasquez M P
Chir Pediatr. 1980;21(4):293-5.
It is possible to transform an external diversion (transcolic cutaneous ureterostomy) into an internal one (uretero-sigmoido-sigmoidostomy) in cases of bladder exstrophy which have not been reconstructed. This must not be done at too early an age (not before 7) and only under certain conditions : good renal function, normal upper urinary tract, no sigmoido-ureteral reflux good anal sphincter. Such an operation radically changes the life of the exstrophic who was previously handicapped by a collecting apparatus. One must assure a careful long term follow-up. The major details of technique and the results of 20 cases are described.
在膀胱外翻未重建的病例中，有可能将外部改道（经结肠皮肤输尿管造口术）转变为内部改道（输尿管乙状结肠吻合术）。但这种手术不能在太小的年龄进行（7岁之前不行），且仅在特定条件下进行：肾功能良好、上尿路正常、无乙状结肠输尿管反流、肛门括约肌正常。这样的手术会彻底改变膀胱外翻患者原本因尿液收集装置而受限的生活。必须确保进行仔细的长期随访。文中描述了该技术的主要细节以及20例病例的结果。
