Two cases of urinary leaks following total cystectomy and ileal condui
t urinary diversion, which were treated percutaneously by intervention
al radiological techniques are described. In one case the urinary leak
was a chronic clinical problem which had failed to improve following
multiple surgical revisions, whilst the second presented acutely in a
patient unfit for surgery. Both patients underwent staged procedures u
sing well established radiological materials and methods, and a succes
sful outcome was achieved in each case. Radiological management of uri
nary leaks following ileal conduit diversion should be considered as a
n alternative to surgery, in those cases where conservative methods fa
il.