McDougall E M, Clayman R V, Figenshau R S, Pearle M S
Division of Urologic Surgery, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
J Urol. 1995 Jan;153(1):123-6. doi: 10.1097/00005392-199501000-00044.
The small capacity or contracted bladder is a difficult management problem. The goal of bladder augmentation is to create a storage structure with an adequate capacity and low pressure. Bladder auto-augmentation creates a large bladder diverticulum by partially excising the detrusor muscle. We report our initial experience with an extraperitoneal approach to laparoscopic auto-augmentation in a patient with a small contracted bladder. This is a technically feasible operation but longer clinical followup is necessary to determine its durability in the management of the small contracted bladder.
小容量或挛缩膀胱是一个难以处理的问题。膀胱扩大术的目的是创建一个具有足够容量和低压的储存结构。膀胱自身扩大术通过部分切除逼尿肌来形成一个大的膀胱憩室。我们报告了我们对一名小容量挛缩膀胱患者采用腹腔镜腹膜外自身扩大术的初步经验。这是一项技术上可行的手术，但需要更长时间的临床随访来确定其在小容量挛缩膀胱治疗中的持久性。
