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Autotransplantation for the management of ketamine ureteritis.

Nicholas Tobias Johannes RaisonTimothy O'BrienDavid GameJonathon Olsburgh
Published in: BMJ case reports (2015)
Ketamine-associated cystitis is a well-recognised syndrome; yet upper urinary tract involvement remains poorly understood. We present the case of a 33-year-old man who developed ketamine-associated cystitis and ureteritis. The patient's severe bladder symptoms required subtotal cystectomy and orthotopic reconstruction. However, the associated ureteritis led to bilateral ureteric obstruction and renal failure. Bilateral autotransplantation with pyelovesicostomy was performed. This first case of autotransplantation for ketamine uropathy helps to demonstrate the potentially devastating effects of ketamine on the urinary tract.
Keyphrases
  • urinary tract
  • pain management
  • case report
  • neoadjuvant chemotherapy
  • physical activity
  • sleep quality
  • depressive symptoms
  • minimally invasive