Since April, 1985, 167 patients have been operated: 85 continent external urinary bypasses to complement the bladder, 57 ileourethral anastomoses to replace the bladder, 14 ileorectoplasties, 9 ileocystoplasties and 2 ileoanal anastomoses. The mortality rate was 5.3% during the first 60 days. Fifteen patients (9.5%) required early second surgery. Eighteen patients required second surgery between (12.1%). The technical changes regarding continent urostomy, vesical replacement and rectal urinary derivation are discussed.
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