Snodgrass W
Methodist Children's Hospital, Lubbock, Texas, USA.
J Urol. 1997 Sep;158(3 Pt 2):1049-52. doi: 10.1097/00005392-199709000-00094.
A simplified Kropp bladder neck reconstruction was done to achieve urinary continence.
A total of 23 patients with an incompetent bladder neck underwent the procedure, including 22 with a neurogenic bladder secondary to myelodysplasia and 1 with bladder exstrophy. The bladder neck operation was incorporated into comprehensive lower tract reconstruction that included simultaneous augmentation cystoplasty in 20 patients, ureteroneocystostomy in 6 and appendicovesicostomy in 6.
Of the 23 patients 21 (91%) are continent. Complications included difficult catheterization in boys and new onset vesicoureteral reflux.
This operation is easily performed and effective for achieving continence.
进行简化的克罗普膀胱颈重建术以实现尿失禁。
共有23例膀胱颈功能不全的患者接受了该手术，其中22例为继发于脊髓发育异常的神经源性膀胱，1例为膀胱外翻。膀胱颈手术被纳入综合下尿路重建，其中20例同时进行了膀胱扩大术，6例进行了输尿管膀胱再植术，6例进行了阑尾膀胱造口术。
23例患者中有21例（91%）实现了控尿。并发症包括男孩导尿困难和新发膀胱输尿管反流。
该手术操作简便，对实现控尿有效。
