Kurzrock E A, Lowe P, Hardy B E
Department of Urology, Children's Hospital Los Angeles, California 90054, USA.
J Urol. 1996 Jan;155(1):305-8.
To improve the results of current bladder neck reconstruction a modification was developed to provide tapering, circumferential compression and suspension of the bladder neck.
Nine female and 15 male patients with spinal dysraphism and incontinence, despite intermittent catheterization and pharmacotherapy, and low outlet resistance underwent surgery. The procedure involves wrapping a pedicle strip of anterior bladder wall around the bladder neck and suspending it to the pubic symphysis.
All 9 girls are completely continent, whereas 10 boys are dry and 5 have stress incontinence after 9 to 14 months of followup. Subjective symptoms correlate with changes in leak point pressure.
This technique is an efficacious addition to bladder augmentation in female patients with poor compliance and low outlet resistance.
为改善当前膀胱颈重建的效果，研发了一种改良方法，以实现膀胱颈的逐渐变细、圆周压缩和悬吊。
9例女性和15例男性脊柱裂合并尿失禁患者，尽管进行了间歇性导尿和药物治疗，但出口阻力较低，接受了手术。该手术包括将膀胱前壁的带蒂条带包裹在膀胱颈周围，并将其悬吊至耻骨联合。
所有9名女孩均完全控尿，而10名男孩术后干爽，5名男孩在9至14个月的随访后出现压力性尿失禁。主观症状与漏点压力的变化相关。
对于顺应性差和出口阻力低的女性患者，该技术是膀胱扩大术的有效补充。
