Long-term results of ureterosigmoidostomy for ectopia vesicae

Ureterosigmoidostomy was performed on 31 children with ectopia vesicae between 1941 and 1964. Two of the children died as a result of the operation and 25 of the remaining 29 were followed up in detail. Contrary to what is sometimes believed, the long-term results leave much to be desired, whether a Coffey or a Mathisen technique is used. Only four of the patients are perfectly normal, but here the end result is very good indeed. The remaining patients suffer from moderate to severe complications or are incontinent or both. It is essential that after ureterosigmoidostomy the patients are carefully followed up for the rest of their lives.