title: Usefulness of Blocksom vesicostomy in elderly men with chronic urinary retention and severe dementia.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Shohei
authors.initials: S
authors.lastname: Tobu
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Noguchi
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Saya
authors.initials: S
authors.lastname: Kurata
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kakinoki
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Kazuma
authors.initials: K
authors.lastname: Udo
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Tokuda
authors.affiliation: Department of Urology, Saga University Faculty of Medicine, Saga, Japan.
authors.forename: Jiro
authors.initials: J
authors.lastname: Uozumi
mesh_terms: D000369:Aged, 80 and over; D002908:Chronic Disease; D003559:Cystostomy / Q000379:methods*; D003704:Dementia / Q000150:complications / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000150:complications / Q000175:diagnosis; D012189:Retrospective Studies; D012494:Sampling Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000175:diagnosis; D016055:Urinary Retention / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*
keywords: Blocksom vesicostomy; dementia; elderly males; self-decannulation; urinary retention