[Ileocecum with appendix in reconstruction of bladder and urethra]

New bladder and urethra were reconstructed by transplanting the ileocecum with appendix and part of the ascending colon. Ileocecal valve was used to prevent urine reflux into the ureters. The appendix and its seromuscular layer were used as "sphincter muscle" to prevent overflow of urine in the cecum. From March, 1988, to October, 1991, 38 cases of carcinoma of bladder were treated by this way. Follow-up for 0.5 to 3.5 years showed that the reconstructed bladder had large capacity, good urination function, no electrolyte disorder, urine reflux and infection of renal pelvis.