Bowel is used in multiple, challenging urologic procedures. Historically, t
hese procedures were performed by a large midline incision; however, many p
rocedures, including a continent urinary stoma, antegrade continence enema,
ileal loop urinary diversion, and bladder augmentation have been successfu
lly completed using laparoscopic assistance and pure laparoscopy. Minimally
invasive techniques allow for improved convalescence and cosmesis compared
with open surgical procedures. Recent accomplishments in the use of bowel
in laparoscopic urology are reviewed.