The authors reemphasize 2 old concepts of 1) the implantation of an artificial urinary sphincter with simultaneous intestinal surgery,1'2 and 2) the importance of achieving urinary and fecal continence simultaneously.3 The title should have included the term enterocystoplalsty since 38% of the patients needed it either to achieve continence or preserve the upper tracts. Since the shortest followup is only 8 months, I would anticipate that in the future more patients in this series will require augmentation and may become dependent on intermittent cathe-terization
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