Shinojima H, Kakizaki H, Nonomura K, Yamashita T, Kanagawa K, Koyanagi T, Nantani M, Matsuno T
Department of Urology, Hokkaido University School of Medicine.
Nihon Hinyokika Gakkai Zasshi. 1994 Sep;85(9):1374-9. doi: 10.5980/jpnjurol1989.85.1374.
Of 12 children who had undergone augmentation ileocystoplasty for treatment of neurogenic bladder, 3 developed bladder calculi 9 to 19 months after the operation. All these 3 children had simultaneously undergone procedure to ensure urinary continence together with ileocystoplasty, and postoperative persistent bacteriuria was found in these 3 children. Component of bladder calculi was magnesium-ammonium phosphate in 2 and calcium phosphate in the other child, and all were successfully removed by endoscopic lithotripsy. These data suggest that postoperative persistent bacteriuria as well as procedures to ensure urinary continence might play a role in the formation of bladder calculus after augmentation cystoplasty.
在接受回肠膀胱扩大术治疗神经源性膀胱的12名儿童中，有3名在术后9至19个月出现膀胱结石。这3名儿童均在接受回肠膀胱扩大术的同时进行了确保尿失禁的手术，且术后这3名儿童均存在持续性菌尿。膀胱结石成分中，2名儿童的为磷酸镁铵，另1名儿童的为磷酸钙，所有结石均通过内镜碎石术成功取出。这些数据表明，术后持续性菌尿以及确保尿失禁的手术可能在膀胱扩大术后膀胱结石的形成中起作用。
