Granados E A, Salvador J, Vicente J, Villavicencio H
Chief Section of Urologic Endoscopy, Puigvert Foundation, Barcelona, Spain.
Eur Urol. 1996;29(3):308-11. doi: 10.1159/000473766.
To review our experience in 14 patients who underwent supravesical urinary diversion maintaining their defunctionalized bladder in situ.
A variety of pathological entities indicated surgery, including neurogenic bladder, urinary tuberculosis (with severely contracted bladder), interstitial cystitis, and retroperitoneal fibrosis.
Global analysis revealed a total of 11 patients (78.5%) who presented complications, the most frequent being mucopurulent and bloody secretions (28.5%), and painful bladder spasms (14.2%), followed by hemorrhage, pyocystis, hypogastric or urethral pain, and sepsis.
Two patients (14.2%) required hospitalization for treatment of complications. The majority of complications were treated successfully with bladder irrigations and antibiotics. One patient required total cystectomy secondary to pyocystis.
回顾我们对14例患者进行膀胱上尿路改道并原位保留失功能膀胱的经验。
多种病理情况表明需要手术，包括神经源性膀胱、肾结核（膀胱严重挛缩）、间质性膀胱炎和腹膜后纤维化。
整体分析显示共有11例患者（78.5%）出现并发症，最常见的是黏液脓性和血性分泌物（28.5%）以及膀胱痉挛性疼痛（14.2%），其次是出血、膀胱积脓、下腹部或尿道疼痛以及脓毒症。
2例患者（14.2%）因并发症需要住院治疗。大多数并发症通过膀胱冲洗和抗生素治疗成功。1例患者因膀胱积脓而行全膀胱切除术。
