Ben-Chaim J, Jeffs R D, Gearhart J P
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Md., USA.
Eur Urol. 1998;33(2):206-8. doi: 10.1159/000019537.
The aim of this study was to report complications involving paraexstrophy skin flaps in the female bladder exstrophy closure.
Bladder exstrophies in three female patients were initially closed using paraexstrophy skin flaps, with an osteotomy being performed in only 1 patient. A dehiscence occurred in all, and a reclosure was performed at a mean of 10 (range: 7-18) months after the initial closure.
Two patients underwent successful reclosure and are awaiting bladder neck reconstruction. The third patient, who had complete procidentia, had a bladder which failed to grow after successful reclosure and underwent augmentation cystoplasty.
Closure of bladder exstrophy in female patients using paraexstrophy skin flaps can be associated with an increased complication rate and should be used judiciously in the exstrophy patient.
本研究旨在报告女性膀胱外翻修复术中涉及膀胱旁皮肤瓣的并发症。
3例女性膀胱外翻患者最初采用膀胱旁皮肤瓣进行修复，仅1例患者进行了截骨术。所有患者均发生了切口裂开，并在初次修复后平均10个月（范围：7 - 18个月）进行了再次修复。
2例患者成功再次修复，正在等待膀胱颈重建。第3例患者有完全子宫脱垂，成功再次修复后膀胱未能生长，接受了膀胱扩大术。
女性患者使用膀胱旁皮肤瓣修复膀胱外翻可能会增加并发症发生率，在外翻患者中应谨慎使用。
