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Article
September 23, 1905

EXSTROPHY OF THE BLADDER SUCCESSFULLY TREATED BY PETER'S METHOD.

Author Affiliations

SAN FRANCISCO.

JAMA. 1905;XLV(13):890-892. doi:10.1001/jama.1905.52510130010001a
Abstract

I am submitting the report of a single case, because it illustrates well an exceedingly easy method of meeting difficult conditions and controlling them almost entirely, so far as theoretical considerations go, and quite entirely so far as this particular case is concerned.

It is hardly necessary to repeat that the ordinary plastic operations which contemplated the creation of a bladder, in cases of exstrophy of that organ, did not include the creation of a sphincter vesicæ; and yet a bladder with no sphincter is really no bladder, but is only a wider part of the urinary tract. After the most brilliant success in an operation of this type the patient has to wear a urinal, his real bladder, hanging down by his leg.

The utilization of the colon or rectum as a receptacle for the urine, an artificial reversion to the avian type, was resorted to, in order to

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