Which of the following is NOT an advantage of neobladder?

• A. Urinary continence
• B. Normal urination routes (no stoma)
• C. External pouching not required
• D. External pouching required

Answer: (D)

Neobladder is designed to recreate a more natural urinary route by using a segment of intestine to form a reservoir connected to the urethra, aiming for urinary continence and voiding through the natural outlet without an external bag.

The statement about external pouching being required would not be an advantage because one of the primary benefits of a neobladder is avoiding an external ostomy bag. Wearing an external pouch implies dependence on a urine collection device, which the neobladder seeks to minimize. While continence is the expected outcome and normal urination via the urethra is preferred, some patients may still have leakage or need intermittent catheterization, but the goal remains to not require external pouching.