[Extensive rectal cancer--preserved intestinal and urinary continence after en-block rectal resection and radical cystectomy]

A patient with rectal cancer and invasion of the urinary bladder without extra-pelvic spread underwent total pelvic exenteration with rectal resection and bladder substitution with the urethro-ileal Kock reservoir. The patient has normal bowel and voiding functions and is without recurrence after two years.