A new technique of bladder enlargement and continent urinary diversion using the ceco-appendicular unit

The authors developed a new technique using the cecum with in-situ appendix to simultaneously achieve bladder enlargement and continent urinary divers ion (CUD) in five cases of neuropathic bladder or serious complications of abdominopelvic trauma. The cecoplasty provides a large-capacity, low-pressu re reservoir; the submucosally-embedded appendix gives complete continence with 3 to 5 intermittent catheterizations daily. It is an alternative to th e Mitrofanoff principle when bladder augmentation and CUD are necessary, an d easier to achieve when faced with a neuropathic bladder where the thickne ss of the detrusor makes appendicular implantation difficult.