Continent Cutaneous Urinary Diversions

Continent cutaneous urinary diversion (CCUD) requires the use of intestinal segment to construct a urinary reservoir as well as a catheterizable continence mechanism. It constitutes an ideal solution for patients who are not candidates for orthotopic neobladder and do not want to have incontinent diversions. In this chapter, we explain the selection and preparation process for patients undergoing radical cystectomy with CCUD. We also describe the most commonly used surgical techniques for CCUD and focus mostly on Indiana pouch creation, which is the most common CCUD performed at our institution.