Street Ketamine-Associated Cystitis And Upper Urinary Tract Involvement: A New Clinical Entity
The authors report a series of 54 ketamine abusers with severe lower urinary tract symptoms that included frequency, small-volume voids, urgency, dysuria, and painful hematuria. 57% had upper tract involvement exhibited by hydronephrosis! Patient evaluation with cystoscopy and bladder biopsy revealed inflammation.
Urodynamic findings were quite impressive -- average cystometric capacity was only 138 cc. Decreased bladder compliance and detrussor instability were documented. 11% of patients had renal insufficiency and required at least temporary upper tract decompression with percutaneous nephrostomy. One patient underwent augmentation enterocystoplasty.
Clearly, when it comes to the GU tract, Special K is not OK.
Presented by Wai Kit Ma, MD, Ming Kwong Yiu, MD, Herbrige P Mo, MD, Peggy S K Chu, MD, Simon C W Wong, MD, and Chi Wai Man, MD at the Annual Meeting of the American Urological Association (AUA) - May 17 - 22, 2008. Orange County Convention Center - Orlando, Florida, USA.
Reported by UroToday.com Contributing Editor Alexander Kutikov, MD
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Strada ketamina-Asociat Cystitis ºi superioare ale tractului urinar Implicarea: o nouã clinicã de entitate, - Street Ketamine-Associated Cystitis And Upper Urinary Tract Involvement: A New Clinical Entity - articole medicale engleza - startsanatate