Ahmed S
Department of Surgery, King Faisal Specialist Hospital, Riyadh, Saudi Arabia.
J Pediatr Surg. 1995 Dec;30(12):1728-31. doi: 10.1016/0022-3468(95)90466-2.
Two cases in which a neourethra was constructed using a flipped anterior bladder wall tube are reported. One girl had lost her urethra secondary to a major urethrovaginal injury from blunt pelvic trauma, an in the other, the urethra had sloughed after cloacal reconstruction. Both patients had a closed bladder neck/proximal urethra and were received with a suprapubic cystostomy. A neourethra was constructed from an anterior bladder wall flap based distally. The flap was tubularized and flipped caudally to the site of the original external urethral meatus. Both girls are continent--one voids normally and the other is managed by clean intermittent catheterization. The flipped anterior bladder wall tube technique for construction of a female neourethra is suitable in patients with an absent urethra, particularly when the bladder neck/proximal urethra is closed.
报告了两例使用翻转的膀胱前壁管构建新尿道的病例。一名女孩因钝性骨盆创伤导致严重尿道阴道损伤而失去尿道，另一例患者在泄殖腔重建后尿道发生脱落。两名患者均有闭合的膀胱颈/近端尿道，并接受了耻骨上膀胱造瘘术。基于远端的膀胱前壁皮瓣构建新尿道。将皮瓣管状化并向尾侧翻转至原尿道外口部位。两名女孩均能自主控尿——一名排尿正常，另一名通过清洁间歇性导尿进行处理。翻转的膀胱前壁管技术用于构建女性新尿道适用于无尿道的患者，尤其是膀胱颈/近端尿道闭合的情况。
