Objective To determine the use and assess the value of full-bladder ®lms during intravenous urography (IVU) which, despite the widespread availability of¯exible cystoscopy, remain part of IVU in many radiology departments. Materials and methods A telephone survey of all Scottish radiology departments where IVU is regularly used showed that half routinely included a full-bladder ®lm in the series. The reports of all IVU over 2 years in the authors' department were analysed retrospectively. The index urogram of all patients with bladder tumours con®rmed during this period was reviewed independently by three observers, and together with the initial radiological reports was correlated with the cystoscopic and histological ®ndings.Results From 2625 patients, 139 (5.2%) IVU reports commented on the bladder; 1423 patients presented with no haematuria. None of the patients without haematuria, where a comment was made about the bladder, had pathological evidence of a tumour. Overall 121 of 464 (26%) new bladder tumours were diagnosed on IVU before cystoscopy. Multiple tumours were always undetected and large tumours were often overlooked. Conclusions Despite its continuing popularity, IVU is a poor means of identifying bladder tumours and routine views of the full bladder should be abandoned.

Summary— Forty‐three children who underwent cutaneous ureteroileostorny are described. Particular attention has been paid to long‐term follow‐up, which has produced disappointing results. Deterioration occurred in 61 % of the kidneys studied and although recurring urinary tract infections and stomal problems occurred in many patients, no single factor could be implicated as the cause of deteriorating renal function.

A case of congenital absence of the appendix occurring in a child with severe thalidomide deformities is described. The literature on agenesis of the appendix is reviewed. The frequency and significance of internal abnormalities in thalidomide children are discussed.

Forty-three children who underwent cutaneous ureteroileostorny are described. Particular attention has been paid t o long-term follow-up, which has produced disappointing results. Deterioration occurred in 61 % of the kidneys studied and although recurring urinary tract infections and stoma1 problems occurred in many patients, no single factor could be implicated a s the cause of deteriorating renal function.Forty-three children who underwent cutaneous ureteroileostomy were studied in order to assess their upper urinary tract function after diversion.

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