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Updated: May 7, 2026

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A functional vesicostomy for six decades: A case report.

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Vesicostomy offers a lifelong solution for bladder outlet obstruction when catheterization isn't possible. This approach effectively preserves bladder and upper urinary tract health, even with long-term use.

Keywords:
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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Vesicostomy is a temporary surgical procedure for bladder outlet obstruction.
  • It serves as an alternative for patients unsuitable for catheterization.

Observation:

  • A 73-year-old male patient utilized a vesicostomy for 59 years.
  • Complications included prolapse and dermatitis, necessitating closure.

Findings:

  • Vesicostomy closure and cystostomy placement were performed at age 73.
  • The patient's bladder and upper urinary tract health were maintained throughout the 59-year period.

Implications:

  • Vesicostomy can be a safe, long-term management strategy for bladder outlet challenges.
  • This procedure aids in preserving renal function and bladder integrity over a lifetime.