Baranov S D, Sukhanov S V
Urol Nefrol (Mosk). 1996 Nov-Dec(6):45-8.
In cases of missed preoperative diagnosis of prostatic cancer and benign hyperplasia, the recovery of unassisted urination in patients who previously have undergone transvesicular adenomectomy is often accompanied by traumatic removal of the tissues. This leads to severe anatomical changes of the cervicourethral segment in the form of postoperative strictures with occasional complete obliteration of the posterior urethra. If endoscopic correction of the posterior urethra fails to produce a persistent therapeutic effect, it is valid to perform urethral invagination into the bladder cervix according to Solovov for restoration of the bladder reservoir function, prevention of its fusion and progression of chronic interstitial cystitis. The case demonstrates successful recovery of the patency of the vesicourethral segment and capacity of the bladder in complete obliteration of the posterior urethra and small urinary bladder.
在前列腺癌和良性增生术前漏诊的病例中,先前接受经膀胱腺瘤切除术的患者自主排尿功能的恢复往往伴随着组织的创伤性切除。这会导致宫颈尿道段出现严重的解剖学改变,表现为术后狭窄,偶尔后尿道会完全闭塞。如果后尿道的内镜矫正未能产生持续的治疗效果,根据索洛沃夫的方法,将尿道内翻入膀胱颈以恢复膀胱储尿功能、防止其粘连以及慢性间质性膀胱炎的进展是可行的。该病例表明,在完全闭塞后尿道和小膀胱的情况下,膀胱尿道段的通畅性和膀胱容量成功恢复。