A new total substitute urinary bladder.

A surgical technique for the creation of an antireflux reservoir type substitute urinary bladder using the distal part of the ileum and aimed at meeting the demands expected of its normal counterpart is presented. Two male patients who underwent radical cystoprostatectomy with pelvic node dissection without urethrectomy for transitional cell carcinoma of the bladder are discussed herein. Variations in the creation of the reservoirs in both patients are described and the preliminary results reported.