作者: Hjalmar W. Johnson , Mark K. Nigro , Lynn Stothers , Howard Tearle , W.J. Arnold
DOI: 10.1016/S0090-4295(94)80145-2
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摘要: Abstract Objectives Evaluations of the functional, radiologic, and pathologic outcomes autoaugmentation by two surgical techniques (vesicomyectomy versus vesicomyotomy) were compared. Autoaugmentation or vesicomyotomy is being increasingly considered as a simplified method bladder augmentation in hypertonic decreased-capacity bladder. Methods In series 35 laboratory sessions, creation an animal model approximatingthe small-capacity was achieved. Sixteen vesicomyotomies 16 vesicomyectomies performed on 32 stabilized one-third reduced bladders. Three bladders used controls. Results Radiologic studies show large diverticulum. A 17.2% net increase surface area achieved, compared with bladder, at time examination. Functional capacity increased 43.5% urodynamic studies, leak point pressure decreased 48.1 %. Histologic morphometric examinations showed few muscle fibers serosal deposition collagen. There less ingrowth periphery site utilizing vesicomyectomy. Conclusions no statistical difference between vesicomyectomywith respect to pathologic, outcome.