Usefulness of <scp>B</scp>locksom vesicostomy in elderly men with chronic urinary retention and severe dementia

Tobu, Shohei; Noguchi, Mitsuru; Kurata, Saya; Kakinoki, Hiroaki; Udo, Kazuma; Tokuda, Yuji; Uozumi, Jiro

doi:10.1111/ggi.12381

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Even if it is known, it is currently understood to be only one of the urinary diversion procedures used to treat congenital lower urinary tract disorders. [6][7][8] Therefore, this procedure has rarely been used as an option for urinary diversion in adults, with the exception of a case that we reported in the past, 9 and there are even fewer reports on the long-term outcomes of this procedure in elderly patients. On the other hand, there are many reports of the long-term results of this procedure in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Long‐term outcomes of Blocksom vesicostomy for elderly patients with chronic urinary retention

Tobu

Noguchi

2022

Int J of Urology

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Purpose To report on the long‐term outcomes of vesicostomy in elderly patients with chronic urinary retention. Materials and methods We conducted a study of 16 elderly patients with chronic urinary retention who underwent Blocksom vesicostomy between April 2010 and March 2021. Postoperative follow‐up was conducted every 3 months to check for abnormal findings, such as stoma outlet obstruction, infection, bleeding, bladder prolapse, and bladder stones. The incidence of these findings and the time until they occurred, as well as the rate of achieving a catheter‐free status and the time until catheter reinsertion, were then calculated using the Kaplan–Meier curve. Results The mean age (±standard deviation) of patients whose cases were observed was 78.6 (±7.8) years; the oldest patient was 87 years of age. The study population included 14 male patients and 2 female patients, with a higher number of males. The causes of urinary retention included neurogenic bladder in 12 patients (including patients with 3 spinal cord injury), advanced prostate cancer in 2 patients, and iatrogenic urethral stricture in 2 patients. The average follow‐up period was 55.7 months. During follow‐up, 14 patients (87.5% of the total) achieved a catheter‐free status under conditions that required no additional treatment. Complications were observed in 6 cases (37.5%); among them, two cases required reoperation. All complications were observed within 2 years after surgery. Conclusion Blocksom vesicostomy may become a viable option in the treatment of elderly patients with chronic urinary retention whose symptoms do not improve with medical therapy.

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Section: Discussionmentioning

confidence: 99%

Long‐term outcomes of Blocksom vesicostomy for elderly patients with chronic urinary retention

Tobu

Noguchi

2022

Int J of Urology

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Vesicostomy: An alternative approach for complicated adult patients with urinary retention

Kumagai,

Imamura,

Muraoka

et al. 2023

Continence Reports

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Laparoscopy-Assisted Cutaneous Vesicostomy in Combination with Radical Nephrectomy in an Adult Patient with Neurogenic Bladder and Difficulty with Permanent Urinary Catheterization

Ochi

Aikawa

Kimura

et al. 2020

Journal of Endourology Case Reports

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Usefulness of Blocksom vesicostomy in elderly men with chronic urinary retention and severe dementia

Abstract: In general, this type of vesicostomy is not a popular urinary treatment; however, Blocksom vesicostomy can be useful for treating elderly men with chronic urinary retention and severe dementia.

Cited by 3 publications

References 4 publications

Long‐term outcomes of Blocksom vesicostomy for elderly patients with chronic urinary retention

Long‐term outcomes of Blocksom vesicostomy for elderly patients with chronic urinary retention

Vesicostomy: An alternative approach for complicated adult patients with urinary retention

Laparoscopy-Assisted Cutaneous Vesicostomy in Combination with Radical Nephrectomy in an Adult Patient with Neurogenic Bladder and Difficulty with Permanent Urinary Catheterization

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