Continent diversion with an appendix conduit and an ileocecal bladder.

Since March 1989, 23 patients have undergone continent urinary diversion with an ileocecal bladder and a reimplanted appendix conduit. In 21 patients this procedure was combined with a radical cystectomy. Of the patients 7 required an endoscopic procedure before satisfactory self-catheterization could be established. This problem was more common early in the series. The continence mechanism is extremely simple and rapid to construct. Continence rates have been most satisfactory, with only 2 patients having secondary incontinence.