[Long-term observations following urinary drainage into the intact large intestine]

A report is given on 21 patients who have survived for at least 5 years after drainage of urine into the non-eliminated large intestine (Coffey-Mayo). Uretero-intestinal anastomosis was performed in 19 children, because of extrophy of the bladder, and in 2 women, following a malignant primary disease. In around half the patients there have been no complications during the post-operative observation period (on average 16.5 years), while new drainages had to be performed in the other half because of structures of the anastomoses. The patients have to adapt their daily lives to the "Coffey" and know the symptoms of an imminent electrolyte disturbance. Post-operative care must be arranged with the patient. Coffey's operation may be indicated when life expectancy is short; otherwise an antirefluxive ureterocolic anastomosis is recommended.