Eleven patients with bladder cancer underwent radical cystoprostatectomy and urinary diversion by means of an ileal reservoir attached directly to the membranous urethra as described by Camey and Le Duc. There were no postoperative deaths and only one serious complication. Subsequent assessment of these patients revealed that they exhibited adequate urine storage capacity, were able to develop normal urinary continence during the day, and could empty their reservoir to less than two ounces residual urine by voluntary urination, but that they tended to wet themselves at night. Technically, the operation was not difficult, but attention to the urethroileal anastomosis and good drainage were important in avoiding troublesome collections of urine in the deep pelvis.
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