In this procedure, the provider cuts a portion of the intestine known as the appendix, joins one end to the urinary bladder to divert urine into the bladder, and connects the other end to the abdominal wall to create an external opening for outflow of urine. He then sutures the cut ends of the intestine together to reestablish bowel continuity. He primarily performs this procedure to facilitate urine excretion following neurogenic or congenital dysfunction of the urinary bladder.
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