Abstract
Rectal injury during radical cystectomy for bladder malignancy occurs in about 4 per cent of cases. Between 1975 and 1980, we performed 70 cystectomies; 5 rectal injuries occurred. The plan of management based on this experience includes careful inspection, good nutrition, avoidance of sepsis, adequate drainage, and decompression of the disruption often requiring a sigmoid loop colostomy.
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