Revisiting the Blocksom Vesicostomy Technique in a very sick child with Bilateral high-grade VUR: A Case Report


  • Vivek Viswanathan Consultant Paediatric Urology, The Children’s Hospital, Akota, Vadodara, Gujarat, India.


Vesicoureteric Reflux, Temporary Urinary Diversion, Vesicostomy, Blocksom Vesicostomy, Reversible


Vesicoureteric reflux (VUR) is a common cause of repeated urinary tract infections (UTIs) in children.  Vesicostomy is considered in selective cases of high grade as an initial temporary procedure to effectively empty the bladder, prevent urinary stasis and chances of reflux, and reduce the incidence of UTI, thereby protecting the upper tracts. The most commonly followed temporary urinary diversion procedure is the one described by Blocksom in 1957. The method is simple, effective, and easy to perform, reversible, protects the upper tracts, and minimizes the incidence of UTIs.


. Shukla ARWein AJ, Kavoussi LR, Partin AW, Peters CA. Posterior urethral valves and urethral anomalies Campbell-Walsh Urology. 201611th Philadelphia: Elsevier:3260

. Kim YH, Horowitz M, Combs AJ, Nitti VW, Borer J, Glassberg KI. Management of posterior urethral valves on the basis of urodynamic findings J Urol. 1997;158:1011-6.


. Marcos g. Machado, James j. Yoo, Anthony Atala,Defunctionalized Bladders: Effects Before And After Refunctionalization In An Animal Model, The Journal of Urology, 2000;164(3.2):1002-1007.


. Hutcheson JC, Cooper CS, Canning DA, Zderic SA, Snyder HM 3rd. The use of vesicostomy as permanent urinary diversion in the child with myelomeningocele J Urol. 2001;166:2351-3.


. Fine MS, Smith KM, Shrivastava D, Cook ME, Shukla AR. Posterior urethral valve treatments and outcomes in children receiving kidney transplants J Urol. 2011;185(6 Suppl):2507-11.


. Michie AJ, Borns P, Ames MD. Improvement following tubeless suprapubic cystostomy of myelomeningocele patients with hydronephrosis and recurrent acute pyelonephritis J Pediatr Surg. 1966;1:347-52.


. Duckett JW Jr. Cutaneous vesicostomy in childhood. The Blocksom technique Urol Clin North Am. 1974;1:485-95.

. Jack Lapides, Ananias C. Diokno, Sherman J. Silber, Bette S. Lowe, Clean, Intermittent Self-Catheterization in the Treatment of Urinary Tract Disease, The Journal of Urology, 1972;107(3):458-461


. Alexander F, Kay R. Cloacal anomalies: Role of vesicostomy J Pediatr Surg. 1994;29:74-6.


. Prudente A, Reis LO, França Rde P, Miranda M, D'ancona CA. Vesicostomy as a protector of upper urinary tract in long-term follow-up Urol J. 2009;6:96-100.

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How to Cite

Viswanathan, V. (2024). Revisiting the Blocksom Vesicostomy Technique in a very sick child with Bilateral high-grade VUR: A Case Report. Parul University Journal of Health Sciences and Research, 2(2), 38–43. Retrieved from



Case Reports/Case Studies/Case Series