REPLACEMENT OF THE URINARY-BLADDER WITH RECTUM

The rectum can be used as a substitute for the urinary bladder such th at the normal outlet for feces at the anus is left undisturbed and con tinent. Perfect and complete continence is achieved by creating a narr ow neck of the rectal bladder with a sphincter around it and a narrow urinary outlet, a neourethra, also with a sphincter around it. Three d ifferent types of anomaly necessitating reconstruction of the urinary bladder were operated upon by this procedure. Three patients are doing well in respect to micturition and defecation, having achieved total continence for both.