The goals of urologic management of neurogenic bladder dysfunction are to achieve and maintain low-pressure urinary storage and voiding, with preservation of the upper urinary tract and achievement of urinary continence. Although continent urinary diversion is considered appropriate in selected patients, these procedures are technically more challenging and are associated with higher short-term and long-term complication rates than those operations that employ an incontinent technique. Different types of ureterointestinal anastomoses have been used in urinary diversion surgery, but all should follow basic surgical principles. The first attempt at using isolated segment of bowel for urinary diversion was reported in 1908 by Verhoogen, who described a technique to divert urine into an isolated segment of ileum and ascending colon. Continent urinary diversion includes any reservoir sub-served by a catheterizable efferent mechanism other than the native urethra and bladder neck. Continent urinary diversion is used in patients with malignancy that requires cystectomy and/or urinary diversion.