Introduction: In this video, we aim to describe the technique and feasibility of intracorporeal robotic conversion of a ileal neobladder to an ileal conduit. Methods: This is a 68 years old male patient who had a robotic radical cystectomy and intracorporeal ileal neobladder for BCG refractory high risk non muscle invasive bladder cancer. He had his continent diversion for 7 years and was dependent on intermittent self-catheterization to empty his reservoir. After counselling the patient on his options, he elected to have a robotic conversion of his neobladder to an ileal conduit. Results: The total operative time was 5 hours and 11 minutes. the estimated blood loss was minimal. No complications were noted and the patient was discharged on post operative day 1. We were able to reutilize the neobladder wall. This was done by partial resection of the pouch wall and reconfiguring the remaining wall in to a tube to reconstruct a new ileal conduit. In doing so, we avoided doing a new intestinal anastomosis and uretero-ileal anastomosis. Conclusions: We demonstrate the surgical steps for robotic conversion of a neobladder to an ileal conduit. This procedure is safe and technically feasible. Recycling the neobladder wall should always be favored over new construction of an ileal conduit as it avoids the need for intestinal anastomosis and redoing of an already patent uretero-ileal anastomosis. SOURCE OF Funding: None
