The Relation of Megacolon and Megaloureter

Abstract

IN the course of caring for a number of patients before and after operation for Hirschsprung's disease it became evident that some had defects in bladder function. To eliminate this as a postoperative complication, studies of bladder function became routine preoperatively on patients of sufficient age for the performance of satisfactory cystometrograms. Fifty per cent were found to have a bladder capacity greater than normal and diminished or absent detrusor contractions. These changes persisted after correction of the megacolon. Five per cent of these patients exhibited more severe bladder dysfunction, with large quantities of residual urine and high intravesical pressure, . . .