膀胱发育不良的新型治疗策略：功能性单肾巨输尿管病例

Q4 Medicine IJU Case Reports Pub Date : 2024-02-25 DOI:10.1002/iju5.12713

Yutaro Sasaki, Masayuki Takahashi, Mitsuki Nishiyama, Saki Kobayashi, Yoshiteru Ueno, Junya Furukawa, Kenji Shimada

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摘要

我们报告了一例功能性单肾巨输尿管病例，该病例在通过家庭膀胱循环增加膀胱容量后进行了手术。一名出生仅 6 天的女孩因左侧巨输尿管、右侧多囊性肾发育不良和膀胱发育不良而接受了经皮左肾造口术，以治疗梗阻性肾衰竭。8 个月时，在计划进行输尿管膀胱造口术之前，她开始在家循环膀胱以增加膀胱容量。手术在膀胱容量增加后进行。左侧输尿管被左侧脐韧带压迫，因此在 1 岁 4 个月时进行了输尿管端对端吻合术。据我们所知，这是首例通过家庭膀胱循环治疗膀胱发育不良的报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A novel treatment strategy for bladder hypoplasia: A case of megaureter in a functional solitary kidney

Introduction

We report a case of megaureter in a functional solitary kidney in which surgery was performed after bladder capacity was increased by home bladder cycling.

Case presentation

A 6-day-old girl with a left megaureter, a right multicystic dysplastic kidney, and bladder hypoplasia underwent percutaneous left nephrostomy for obstructive renal failure. At 8 months, home bladder cycling was initiated to increase bladder capacity before the planned ureterocystoneostomy. Surgery was performed after bladder capacity increased. The left ureter was compressed by the left umbilical ligament, so ureteral end-to-end anastomosis was performed at 1 year and 4 months. At 2 years and 8 months, cystometry showed age-appropriate bladder capacity and improved bladder compliance.