Objective: To compare the clinical effects and surgical complications of different urinary diversion in the patients who underwent radical cystectomy.Methods: Retrospective analysis clinical data,surgical complications of short and long-term of 21 patients with radical cystectomy (11 with orthotopic sigmoid neobladder,2 with orthotopic ileal neobladder,6 with ureterocutaneostomy and 2 with sigma rectum pouch) in our hospital during the past 10 years.