[Neo-bladder made from the rectum in surgical cure of uro-genital malformations (author's transl)]

The authors give a critical account of the results of artificial bladder construction using the rectum in complex genito-urinary malformations, such as, extrophic bladder, failure of correction of epispadias, and discuss 12 personal cases of which 6 out of 10 had been followed up for between 10 and 15 years. One important recommendation: in adults where the shincter system is normal, according to our experience, there is little trouble with urinary or fecal incontinence. In children, it is still necessary to develop a procedure which might permit one to express, numerically, the conclusions of the electrical examination and the volume above which resistance begins to break down. In small boys, after formation of the new bladder, one should attempt to restore micturition by the natural route, by reconstruction of the neck of the bladder, ileoplasty and reimplantation of the ureters in situ.