[Indication, technic and results of the rectal bladder]

For the incontinence of urine, when the bladder and the urethra could not be reconstituted: hypospade, épispade, vesico-vaginal fistula with distruction of urethra, neck and trigone. From 1959 we have performed 42 rectal bladder. The total cystectomy for cancer and reconstruction of rectal bladder have bad prognostic. Our technic of reimplantation of ureters into rectum is inspired from Coffey and Nesbit, is also anti-reflux. The mortality after the operations is about 5%. The distant mortality is 0. The continence of urine is good the day, less good by night, some patients urine once or twice by night. The contiguous and distant pyelography are classed as: very good, good and not bad. The results are good, we have never be obliged to practice a nephrectomy for 84 ureters reimplanted. The rectal bladder is continent and respect the upper urinary tract and gives thhe patients good life in the society.