Robotic Radical Cystectomy is a relatively new procedure that is now commonly performed by a limited number of robotic surgeons. Dr. Ornstein is a pioneer in this field {Robot-Assisted Laparoscopic Radical Cystoprostatectomy and Totally Intracorporeal Ileal Neobladder}, and has one of the largest experiences with Robotic Cystectomy and urinary diversion on the West Coast. As with Robotic Radical Prostatectomy, Robotic Radical Cystectomy is associated with less blood loss, lower risk of transfusions, fewer complications and faster recovery than standard open or laparoscopic cystectomy{Comparative Analysis of Laparoscopic and Robotic-Assisted Radical Cystectomy with Ileal Conduit}. Robotic Radical Cystectomy involves removing the bladder along with the prostate and seminal vesicles in men. In women the uterus, ovaries and fallopian tubes are typically removed, but can be preserved in selected cases. An extended pelvic lymphadenectomy is routinely performed during radical cystectomy. Once the bladder and lymph nodes have been removed robotically the options for urinary diversion include {Urinary Diversion }; orthotopic neobladder (a new bladder created from the patient's own intestines and connected back to the urethra), a continent cutaneous diversion (a new bladder created from the patient's own intestines that is connected to the skin and requires intermittent catherization to drain) and an ileal conduit (that drains urine continuesly into a plastic bag that is stuck to the abdominal wall).