The colonic neobladder

The neobladder is an excellent form of urinary diversion after cystoprostatectomy. Socially and psychologically, the neobladder offers the best form of urinary reconstruction in the male patient. In addition, because of the antireflux ureteral implantation, it is hoped that renal function will be preserved in the long run. Different bowel segments and configurations can be used to construct a neobladder. The colonic (detubularized sigmoid) neobladder described here is an excellent option. It is simple to construct, uncomplicated, and not time consuming. The bowel is expendable, and there are no metabolic or anatomic sequelae of using this bowel segment. In addition, the functional results are excellent, and patient satisfaction is high.