Aim: In the present article, we present the usefulness of Blocksom vesicostomy in elderly men with chronic urinary retention.
Methods: We carried out Blocksom vesicostomy in four patients between January 2011 and September 2013. We followed up all patients over 6 months. We checked their general and urinary condition based on interviews with their family members.
Results: The etiology of urinary retention included prostate cancer and neurogenic bladder. All of the patients had severe dementia. We successfully managed the urinary treatment of all patients, although their general conditions gradually deteriorated.
Conclusions: 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.
Keywords: Blocksom vesicostomy; dementia; elderly males; self-decannulation; urinary retention.
© 2014 Japan Geriatrics Society.