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Objectives We have used the technique of ileocecocystoplasty with a cutaneous continent catheterizable limb to incorporate native bladder into the urinary reservoir to treat patients with functional and anatomic bladder disorders. This review was performed to evaluate the outcome of the first 8 patients who underwent this procedure. Methods A retrospective analysis was performed by chart review and telephone interview. Patients' preoperative and postoperative bladder status and management, satisfaction rating, and renal function are reported. Results Follow-up of 9 to 64 months (mean, 33.9) in our first 8 patients reveals excellent results in all, including 1 patient who prefers an indwelling catheter due to progressive neuromuscular disability. Conclusions Cutaneous ileocecocystoplasty offers urologists and patients continent urinary diversion with minimal morbidity and is a much less extensive procedure than complete bladder replacement.

A technique for total bladder replacement using a detubularized sigmoid segment is described. The procedure is technically straightforward and results in a highly compliant, low-pressure reservoir that allows both day and night-time continence.

Bladder replacement after radical cystectomy offers the cancer patient the possibility of restoration to a functional level not possible with the standard means of urinary diversion. Herein we present our experience using a detubularized right colonic segment to create functional reservoirs in 2 male patients and a continent reservoir in a female patient. Cystometric analysis reveals capacious reservoirs, low basal pressures, and a tendency toward pressure spikes at higher filling volumes. All 3 patients are continent at volumes up to 400 cc with preservation of the upper urinary tracts and the absence of reflux. We believe the simplicity of this technique and the encouraging results will contribute to more widespread application of continent and functional reservoirs.