THE MODIFIED RECTAL BLADDER IN CHILDREN - LONG-TERM FOLLOW-UP

The criteria for evaluation of urinary diversion procedures in childre n must be strict since their life expectancy is long, Our experience w ith the modified rectal bladder in children with considerable follow-u p periods is reported herein. All patients were continent by day and n ight. Urography studies revealed a normal upper tract in all cases. Th ree early complications were encountered among patients who had a subm ucous tunnel reimplantation. Reflux to the proximal colon or the kidne ys was not demonstrated. The metabolic status and growth-rate patterns of these patients were within normal limits without alkaline therapy. All urine samples aspirated from the renal pelves were sterile. We co nclude that a modified rectal bladder with a second ileal intussuscept ion valve is the operation of choice whenever urinary diversion in chi ldren is indicated.