目的　探讨膀胱癌患者膀胱全切术后,贮尿排尿及生活质量问题。方法　对无性功能障碍的6 例膀胱癌患者行全膀胱切除低压回肠膀胱与尿道吻合术。结果　术后随访1 ～5 年,均无吻合口狭窄,排尿通畅。6 例均能控制排尿,5 例性生活正常。结论　该术式兼有可控和经尿道排尿优点且保留性生活质量,是理想的肠代膀胱术 Objective To investigate the urinary bladder voiding and quality of life after bladder resection in patients with bladder cancer. Methods Six cases of bladder cancer with asexual dysfunction underwent total cystectomy and ileal anastomosis. Results The patients were followed up for 1 to 5 years, no anastomotic stenosis, voiding patency. 6 cases were able to control urination, 5 cases of normal sex life. Conclusions The procedure, which combines the advantages of controlled and transurethral voiding and retention of quality of life, is an ideal procedure for enteral replacement of bladder