Continent diversion has become widely ac­ cepted by both the urologist and patient. Or­ thotopic urethral anastomotic procedures and con­ tinent catheterizable stomal reservoirs have stood the test of time, and both procedures should be considered for all appropriate patients. This article focuses on the forms of continent urinary diver­ sion used in the adult patient population that arc associated with the highest success rates. The vast majority of continent diversion procedures per­ formed by the authors are accomplished using three reservoirs: stapled right colon, stapled sig­ moid colon, and hand-sewn terminal ileum. The right colon is used for continent catheterizable pouches. All three techniques can be used to form ncobladders, although the authors tend to usc sta­ pled sigmoid colon and hand-sewn terminal ileum as reservoirs preferentially. Despite considerable enthusiasm for continent urinary diversions, procedures requiring the use of external urinary collecting appliances remain the most common. Although continent urinary di­ version is certainly appropriate in selected pa­ tients, some of the procedures arc technically more challenging and are potentially fraught with higher complication rates. The operating time as­ sociated with these more complex procedures has been reduced significantly by the widespread usc of absorbable and metal staples in the construction of the reservoirs and limbs. As a result, the compli­ cation rates have decreased .