Urinary diversion through an isolated rectal bladder with intrasphincteric (anal) colostomy
Diseases of the Colon & Rectum
Urinary diversion through an isolated rectal bladder and a pull through intrasphincteric perineal colostomy have many advantages and few disadvantages. A small series of experiments performed on animals revealed no infection, no hyperchloremic acidosis, and no upper urinary tract dilatation. Four patients had complete control of urine at the time of the last follow up and two had partial control (the elderly women), four had complete control of feces through the perineal colostomy, one had partial control and one required subsequent abdominal colostomy on account of stricture. There was no hyperchloremic acidosis, and no upper urinary tract dilatation which had not been present prior to surgery. None had clinical evidence of persistent kidney infection. © 1958 the American Proctologic Society.
Barnes, Roger W.; Hill, Malcolm R.; Hill, Malcolm R.; and Hill, James T., "Urinary diversion through an isolated rectal bladder with intrasphincteric (anal) colostomy" (1958). LLU Faculty Publications. 93.