As others have noted, neobladders are statistically more problematic for females, although many do just as well as men. There tends to be more problems with continence, both too little and too much in female patients. And although it is true that the sensation is different than the normal bladder, I have absolutely no problem knowing when mine is becoming full. You are partially right in that ileal conduits are an older procedure, they are, however they are totally appropriate for many patients and many are perfectly happy with them. This was my back up plan should the neobladder have been medically inadvisable and I am sure I would have adapted to that. I think that we are marvelously able to adapt to our diversions and most folks seem to be quite happy with their diversion, even if it has some quirks. None are a perfect replacement and require an adaptation, but none seem to interfere with life style. Of course if you want to wear a bikini, an ileal conduit would probably require some personal strength, but anyone who can go through this has that strength. No matter what diversion you pursue, you need a surgeon with extensive experience with the diversion. Best wishes,
jj