The trigonointestinal implantations

The author reports the indications, operative technique and long-term results of trigonosigmoidostomy in 26 cases of bladder exstrophy. The long-term results were considered as excellent in 20 cases, satisfactory in 4 and bad in 2. Even after a long period of up to 20 years, the function of the ureterotrigonal junction remains intact and ascending pyelonephritis does not occur. Social life is normal and sexual function is possible. In cases when internal diversion is counterindicated, the trigone can be successfully implanted into an isolated loop of the ileum or colon.