Which of the following is an advantage of neobladder compared to other diversions?

• A. Urinary continence
• B. External pouching required
• C. Frequent stoma care
• D. Non-continence

Answer: (A)

The main idea here is that a neobladder offers continence and a more natural way to urinate. An ileal neobladder creates a reservoir from a bowel segment that can be connected to the urethra, allowing the person to store urine and void voluntarily with pelvic-floor control. This often means no external urinary appliance is needed, improving body image and reducing skin irritation and daily pouch care compared with diversions that require an external bag. While continence can vary and some patients may need intermittent catheterization or experience occasional leakage, the ability to achieve urinary continence and void through the urethra is the primary advantage of the neobladder over other diversions.