**5. Final considerations**

Understanding the complexity involving the patients who need a urinary derivation is the cornerstone of treatment success. This includes knowing when and which urinary derivation is more suitable for each situation and assuring an appropriate preparation pre operatively. Proper patient education will facilitate patient's adherence to self catheterization and elevate chances to meet his expectations towards the treatment. It cannot be forgotten that although continent urinary conduits offer a very high rate of success, revisions are expected and may occur throughout patient's entire lifetime. Therefore, regular and thorough follow up is warranted.
