[An orthotopic bladder from the ileum after total cystectomy--the technic of the operation]

This is a description of the operation proper with explanation of the motivation for giving preference to one or another technique of execution. Presumably, proceeding from experience accumulated hitherto, it will serve the purpose of instructions to Bulgarian urologists willing to implement in practice this difficult and complex operative procedure. After careful assessment of the methods existing, and in compliance with the logic of anatomy and physiology of the structures involved, two innovations concerning the formation of new urinary bladder and implantation of the ureters therein are introduced. The latter merit special attention since they contribute greatly to improve the functions of the new organ.