Further Experience with the Rectosigmoid Bladder

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Abstract
Summary: 89 patients suffering from carcinoma of the bladder treated by cystectomy and construction of a rectal bladder were reviewed.The immediate postoperative mortality was 12.5 %, most deaths being due to infection.64 patients had been followed for 6 months to 3 years.The 64 patients possessed a total of 115 kidneys, and there was radiological evidence of postoperative deterioration in 23 instances. Anastomotic stricture formation was the commonest complication.Measurement of rectal bladder capacity showed the functional to be smaller than the anatomical. This was shown radiologically to be due to a change of posture; the capacity is greater when the patient is supine than when he is erect.Nearly all patients were continent by day; leakage at night occurred in 40 %29 of 32 patients were at work 1 year after operation.