Brueziere J
Eur Urol. 1976;2(3):113-9. doi: 10.1159/000471980.
Urine incontinence of sphincteric origin in the little girl can have several origins: epispadias, hypospadias, bilateral single ectopic ureters, isolated sphincteric agenesis, iatrogenic lesion of the sphincter, complications of ureterocele. Creation of a new urethra alone, whatever the technique used, seldom restores continence. In addition, the proximal urethra is supported by means of an aponeurotic flap, the results improve considerably: in this series, 6 good results out of 7. In surgical correction of epispadias in girls, the author recommends combining the technique described by Islam and supporting the bladder neck by the Goebbel Stoeckel's technique.
尿道上裂、尿道下裂、双侧单一异位输尿管、孤立性括约肌发育不全、括约肌医源性损伤、输尿管囊肿并发症。无论采用何种技术,单纯重建新尿道很少能恢复控尿功能。此外,采用腱膜瓣对近端尿道进行支撑,效果有显著改善:在本系列研究中,7例中有6例效果良好。在女童尿道上裂的手术矫正中,作者建议将伊斯兰描述的技术与戈贝尔·施托克的技术相结合来支撑膀胱颈。