TRANSPLANTATION OF URETERS INTO RECTUM

Abstract

In 1919, C. H. Mayo¹reviewed the subject of exstrophy of the bladder, and described the various operations for the condition that have been tried, modified, and tried again since the time of Simon²and Roux.³He also described in detail his method of transplanting the ureters into the rectum, applying to the ureters Coffey's principles of common bile duct transplantation. <h3>METHOD OF TRANSPLANTATION</h3> Briefly, this method consists of intraperitoneal isolation of the right ureter, and its division about 2.5 cm. from the wall of the bladder. A longitudinal incision is made through the outer coats of the rectosigmoid opposite the isolated ureter, which is carried to the mucous membrane, but not through it. Lateral separation is made of tissues each side of the incision, and at its lower end a puncture large enough to insert the ureter is made through the mucosa. After splitting the lower