A New Technique for Continent Urinary Diversion: Initial Experience and Description of the Technique

Orthotopic neobladder is a well-established surgical solution for continent urinary diversion after radical cystectomy. Nevertheless, it still represents a challenging surgery. Some critical issues of orthotopic bladder sub- stitution include relevant complication rates, renal function impairment, urinary incontinence and patient quality of life. A new ileal neobladder technique, Vesuvian Orthotopic Neobladder (VON), performed for the first time in 2020. To simplify and speed up the reservoir reconstruction through ten standardized technical steps and obtain an appropriate bladder capacity at the same time.