Thirty-two children with cutaneous ureterostomies are reviewed, of whom 27 were evaluated with an average followup of 3 years 8 months. Of these 27 patients 26 had successful stabilization of the upper tracts as determined by gross radiographic and renal function parameters. The incidence of stomal stenosis and revisions is no worse than the reported rates in cases of ileal conduits followed for a comparable length of time. Proper patient selection and careful long-term followup are mandatory for the successful application of this procedure in children.