Hendren W H
J Urol. 1976 Feb;115(2):195-202. doi: 10.1016/s0022-5347(17)59131-4.
Sixteen bladder exstrophy patients were treated by diverting the urine into a non-refluxing colon conduit. There were 4 new, previously unoperated cases and 12 had been diverted earlier by ileal conduit. Subsequently, 11 conduits were detached from the abdominal wall and joined end-to-side to the rectosigmoid colon. This method has proved satisfactory to date but long-term assessment will be needed. This staged method of ureterosigmoid urinary diversion appears to be a satisfactory way to manage new patients with bladder exstrophy and patients who have been diverted previously by an ileal conduit. From our experience with non-refluxing colon conduits we conclude also that it is: 1) a better method than ileal loop for permanent diversion, 2) indicated for patients with an ileal loop who are not doing well and 3) useful in patients undergoing anterior exenteration, providing the option of joining it to the rectosigmoid if there is no recurrent disease or radiation proctitis.
16例膀胱外翻患者采用尿液转流至无反流结肠管道的方法进行治疗。其中有4例为新的、此前未接受过手术的病例，12例此前已通过回肠管道进行过尿液转流。随后，11个管道从腹壁分离，并与直肠乙状结肠进行端侧吻合。到目前为止，该方法已证明是令人满意的，但仍需要进行长期评估。这种分期输尿管乙状结肠尿液转流方法似乎是治疗新诊断膀胱外翻患者以及此前通过回肠管道进行过尿液转流患者的一种令人满意的方式。根据我们使用无反流结肠管道的经验，我们还得出以下结论：1）对于永久性尿液转流，它是比回肠袢更好的方法；2）适用于那些使用回肠袢但情况不佳的患者；3）对于接受前盆腔脏器清除术的患者，如果没有复发性疾病或放射性直肠炎，可选择将其与直肠乙状结肠吻合，该方法是有用的。
