Sigmoido-recto-urethroplasty after radical cystectomy for carcinoma of the urinary bladder

ABSTRACT

A sigmoido-recto-urethroplasty was performed for total bladder substitution in 24 selected patients. In 16 new patients the recto-sigmoid segment was isolated, partially detubularized in its upper end for a convenient length, and connected to the urethra. Through the open upper end of the segment, an effective low ureterocolonic end to side anastomosis was performed according to the method of Le Duc and Camey. Simple reconfiguration into a spherical pouch increased the capacity. In the remaining 8 patients the previous rectosigmoid bladder was converted to the continent urethral pouch