Intestinal continent diversions in women, although widely used in males, have been the subject of recent refinements. Potential associated problems are related to the functional aspects of these diversions and the possibility of secondary urethral tumors.The present paper reviews the basic anatomical components of the urethral sphincter in women and discusses the indication and surgical techniques of this approach in women.Postoperative results may be improved by performing a nerve-sparing procedure and by using low-pressure reservoirs.