Right colocystoplasty for bladder replacement

Total bladder replacement by an ileoascending colonic segment with adjunctive use of intermittent self-catheterization and secondary insertion of an artificial sphincter has been selectively employed in a group of male patients undergoing cystectomy for localized invasive bladder cancer and disabling interstitial cystitis. This bowel segment offers a capacious reservoir, an effective antireflux barrier, and a consistent tension-free colourethral or coloprostatic anastomosis. Mucous plug catheter obstruction is rarely a problem in this reservoir during the early postoperative course.