患有瓣膜膀胱综合征(PUV)的男孩需要对下尿路进行充分的治疗,以保持肾功能并改善长期预后。在一些患者中,进一步的手术可能是必要的,以改善膀胱容量和功能。输尿管细胞成形术(UCP)通常用小肠进行,或者,输尿管扩张.我们的目的是评估PUV男孩UCP治疗后的长期结果。在我们医院(2004-2019年)对10名PUV男孩进行了UCP。评估术前和术后数据与肾脏和膀胱功能的关系,SWRD得分,额外的手术,并发症,和长期随访。一次瓣膜消融和UCP之间的平均时间为3.5年(SD±2.0)。中位随访时间为64.5个月(IQR36.0~97.25)。年龄调整后的膀胱容量平均增加25%(从77%(SD±0.28)到102%(SD±0.46))。八个男孩自发地排尿。超声显示无严重肾积水(3-4级)。SWRD评分显示中位数从4.5(范围2-7)降至3.0(范围1-5)。不需要增强的转换。UCP是改善PUV男孩膀胱容量的安全有效方法。此外,自然排尿的可能性仍然保持。
Boys with valve bladder syndrome (PUV) require adequate treatment of the lower urinary tract to preserve renal function and improve long-term outcomes. In some patients, further surgery may be necessary to improve bladder capacity and function. Ureterocytoplasty (UCP) is usually carried out with a small segment of intestine or, alternatively, with a dilated ureter. Our aim was to evaluate the long-term outcomes after UCP in boys with PUV. UCP had been performed in 10 boys with PUV at our hospital (2004-2019). Pre- and postoperative data were evaluated in relation to kidney and bladder function, the SWRD score, additional surgery, complications, and long-term follow-up. The mean time between primary valve ablation and UCP was 3.5 years (SD ± 2.0). The median follow-up time was 64.5 months (IQR 36.0-97.25). The mean increase in age-adjusted bladder capacity was 25% (from 77% (SD ± 0.28) to 102% (SD ± 0.46)). Eight boys micturated spontaneously. Ultrasounds showed no severe hydronephrosis (grade 3-4). The SWRD score showed a median decrease from 4.5 (range 2-7) to 3.0 (range 1-5). No conversion of augmentation was required. UCP is a safe and effective approach to improve bladder capacity in boys with PUV. In addition, the possibility of micturating naturally is still maintained.