ABSTRACT
The use of bowel to reconstruct the lower urinary tract has allowed urologists to treat patients with bladder diseases at all ages. In the older patient, cancer often requires radical excision of the bladder with complete replacement with bowel segments. On the other hand, in children, congenital defects such as myelomeningocele or exstrophy are more commonly the impetus for bladder reconstruction. Enterocystoplasty has revolutionized the treatment of children with severe bladder disease, and has also highlighted the significant differences between the adult and the developing child.
