Adeyoju A B, Lynch T H, Thornhill J A
Stepping Hill Hospital, Stockport, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(1):48-51. doi: 10.1007/BF01900542.
Supravesical urinary diversion without cystectomy is a common procedure performed to manage a variety of lower urinary tract pathologies. The purpose of this article is to review the complications associated with the bladder left in situ and to relate this to the female patient. Complications related to the defunctionalized bladder include pyocystis, hemorrhage, pain/spasm and neoplastic transformation. The defunctionalized bladder also has implications for sexual function, pregnancy and undiversion. The risk factors for complications are chronic infection, inadequate drainage, interstitial cystitis and previous irradiation. The incidence of neoplastic change in the defunctionalized bladder is low, but long-term follow-up is advised, as carcinoma could develop many decades after diversion. Sexual function following urinary diversion is better preserved when the bladder is retained.
不进行膀胱切除术的膀胱上尿路改道术是一种用于处理多种下尿路疾病的常见手术。本文旨在回顾与原位保留膀胱相关的并发症，并将其与女性患者相关联。与去功能化膀胱相关的并发症包括膀胱积脓、出血、疼痛/痉挛和肿瘤转化。去功能化膀胱对性功能、妊娠和恢复原位膀胱功能也有影响。并发症的危险因素包括慢性感染、引流不畅、间质性膀胱炎和既往放疗。去功能化膀胱发生肿瘤变化的发生率较低，但建议进行长期随访，因为癌症可能在改道数十年后发生。保留膀胱时，尿路改道后的性功能能得到更好的保留。
