As reported by several studies, the quality of life of patients with orthotopic urinary neobladder is higher than those with other types of non-continent urinary diversions (such as the ileal conduit or the ureterocutaneous stomy) yielding an improved self-confidence and restoration of professional, leisure, and social activities [17; 18]. Nevertheless, patients desiring an orthotopic neobladder have to be motivated and conscious that a timed voiding regimen is needed after surgery and that clean intermittent catheterization could be necessary if needed (up to 10% of patients requires intermittent catheterization to adequately empty their neobladders), as well as of other potential complications ranging from electrolyte disorders to metabolic disorders [19]. Due to these premises, relatively few contraindications are reported for the construction of an orthotopic urinary neobladder after RC, such as chronic renal insufficiency, extensive pelvic involvement of the disease, urethral stricture, or involvement with cancer, enteric disease, neurological disease, hepatic dysfunction, and impaired dexterity, while the suitability of the procedure has to be considered in patients with advanced age or prior pelvic radiotherapy [20; 21]. Since the first totally intracorporeal robot-assisted ileal orthotopic neobladder performed by [PERSON] et al. in 2003, the use of the ileum or colon for continent urinary diversion have become a mainstay technique with several surgical variants that have been developed, such as the FloRIN, the intracorporeal Padua Ileal neobladder, the Hautmann neobladder, the Studer pouch, and the \"Y\" pouch [22; 23; 24; 25; 26]. All those techniques had a similar goal: exploit the possibility to detubularize and successively shape the interested bowel for the reconstruction of a spherical reservoir, which permits lowering the intraluminal pressures and obtaining a good capacity reservoir, in accord to the Laplace law [27]. Furthermore, the reservoir should also have the capability to expand to allow volitional emptying in intervals short enough to avoid metabolic consequences (related to the reabsorption of urine) but long enough to permit social continue [28]. Nevertheless, despite the variety of surgical procedures for the construction of orthotopic urinary neobladders and the extensive experience with these techniques, there is no current consensus on which reservoir configuration provides the best results [29; 30]. Furthermore, despite the advantages and the benefits associated with intracorporeal continent urinary diversions, the orthotopic neobladder remains a challenging and difficult procedure with its robotic counterpart, which is deemed among the most challenging, difficult, and time-consuming procedures, burdenend by a steep learning curve and potentially considerable complication rate [31; 32]. For these reasons, as reported by the International Robotic Cystectomy Consortium, the use of intracorporeal urinary diversion has increased from 9% in 2005 to 97% in 2015 with, in particular, a significant increase for ileal conduits (2% in 2005 to 81% in 2016) compared to the intracorporeal neobladder (7% in 2005 to 17% in 2016) [33]. Due to these premises, the aim of our article is to describe, for the first time, a new robotic, totally intracorporeal orthotopic neobladder technique, which was inspired by a previously described open technique, aimed to simplify and speed up the reconstruction of the neobladder through a practical and easily reproducible procedure called Vesuvian Orthotopic Neobladder (VON) [34].