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Article
March 27, 1926

THE INDICATION OF NEPHROSTOMY PRELIMINARY TO URETERORECTONEOSTOMY

JAMA. 1926;86(13):921-926. doi:10.1001/jama.1926.02670390001001
Abstract

The transplantation of ureters into the bowel is regarded as justifiable in a relatively small group of cases. Freed from the many dangers both immediate and remote, the applicability would jump immediately to a respectable figure. As it now is, the procedure may be used only as a desperate means of relief of last resort.

The widest application has been in exstrophy of the bladder and similar anomalies, and no doubt a short life of continence and comfort is preferable to the shorter one of pain and misery inevitable to the unfortunate children born with this deformity. Yet ureterorectal transplantation for exstrophy is not an ideal surgical procedure nor ever will be even if freed from its present dangers. Such an individual is at once removed from the service of modern urologic methods, well illustrated by a patient of my own who had lived six years comfortably with the ureter

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