• Psychiatrische Praxis · Jan 2012

    Case Reports

    [Ketamine-induced vesicopathy].

    • Martin Lieb, Markus Bader, Ulrich Palm, Christian G Stief, and Thomas C Baghai.
    • Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik, Ludwig-Maximilians-Universität, München. martin.lieb@med.unimuenchen.de
    • Psychiatr Prax. 2012 Jan 1;39(1):43-5.

    AbstractWe report about a 25-year-old patient with transnasal ketamine abuse over years presenting with severe irritative urinary dysfunction (imperative urinary urgency, pollakisuria, dysuria) and severe alguria. Cystoscopia showed ketamine-induced vesicopathy with errosive cystitis; other etiologies could be excluded. Despite serious effort the patient was not motivated for abstinence from ketamine. After two ineffecient therapies with botulinum toxin A (200 and 400 I. E.) injected into the bladder, a prostate preserving cystectomia and ileum neobladder were mandatory.© Georg Thieme Verlag KG Stuttgart · New York.

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