神経因性膀胱に対する腸管利用膀胱拡大術

ENTEROCYSTOPLASTY FOR NEUROGENIC BLADDER

　神経因性膀胱患者のうち，膀胱の伸展性が失われ膀胱容量が小さいために尿失禁を呈した7例に対して，腸管を利用した膀胱拡大術を行った。術後全例が間欠的自己導尿を施行しているが，5例で尿失禁が消失またはほぼ消失し，2例で失禁量が著減した。

Seven adult patients with spina bifida or spinal cord injury who had intractable urinary incon-tinence resulted mainly from decreased bladder capacity underwent enterocystoplasty followed by intermit-tent self-catheterization. Although 2 patients underwent a reoperation to detublarize the isolated bowel and to suspend the urethra with a fascial strip, 5 patients became almost continent of urine and in the remaining 2 patients the amount of urinary incontinence decreased markedly.