Objective      To evaluate the long-term complications of continent ileocolic reservoir with in situ appendix conduit through umbilicus and their management.        Methods      We reviewed 37 patients with bladder diseases who underwent the surgery of continent ileocolic diversion with in situ appendix conduit through umbilicus and followed up for 85 to 136 months (mean 109 months). Long-term postoperative complications were documented.       Results      Complications occurred in 15 cases (40.5%)

including stone formation in urinary pouch in 2 cases

efferent limb stricture and difficulty in catheterization in 3 cases

ureter stricture and hydronephrosis in 7 cases

foreign matter in urinary pouch in 2 cases

efferent limb mucosa exstrophy in 1 case. These complications were correctly treated and good results were achieved.        Conclusion      Long-term complications of continent ileocolic diversion with in situ appendix conduit through umbilicus were related to nursing in daily life after operation and unsuited design in operation. Nursing in daily life is considered very important in preventing postoperative complications.