1. Continent urinary diversions are an alternative diversion to urostomies. 2. Nurses must be aware of the intense preparation, high level nursing and continuous support needed by patients. 3. Patients and carers need to be made aware of the high complication rate of these operations. 4. Commitment to care of the diversion by the patient and a strict follow-up regimen are essential to ensure complications are avoided or dealt with early.