결핵성 수축방광의 수술요법
Surgical Management of Contracted Bladder Due to Tuberculosis
소속 상세정보
김원재/Kim WJ
김시황/김영균/Kim SW/Kim YK
KMID : 0358319840250060722
Abstract
Thirteen patients with contracted bladder due to tuberculosis who underwent surgical intervention were evaluated The most common agonizing symptom was frequency. Surgical management included augmentation cystoplasty in 8 patients and urinary diversion in 5 patients. In augmentation cystoplasty, the overall success rate of 87.5 % has been achieved in view of relief of symptom, improvement of bladder capacity and preservation of renal function. For the success of augmentation cystoplasty, creatinine clearance higher than 30 ml/min., no abnormality in selected intestinal segment, absence of uninhibited detrusor contraction or detrusor-sphincter-dyssynergia and no bladder outlet obstruction are inevitable. As an alternative, urinary diversion should be considered only in cases of severely deteriorated renal function, severely decreased bladder capacity, bladder outlet obstruction, neurogenic bladder and inapplicability of augmentation cystoplasty. "
키워드
수축방광; 결핵; 방광성형술; 확대술; contracted bladder; tuberculosis; surgery
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