**14. Continent catheterizable channel**

Some patients with spinal cord injury have difficulty or are unable to perform IC through a native urethra. In such cases, the creation of an abdominal stoma using a continent catheterizable channel (CCC) should be considered. A CCC is particularly helpful in women because their ability to access their urethra is more difficult than in men [127–129]. A concomitant bladder neck closure with a CCC becomes an option when urethral dysfunction or destruction does not result in acceptable continence over anti-incontinence surgeries.

The majority of patients with bladder augmentation or continent urinary diversion will have mucus production that can act as an incubation material for infection. Irrigation of the bladder or pouch at regular intervals with normal saline decrease the incidence of symptomatic urinary tract infection.
