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Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents
Published on: June 2, 2015
[Ketamine-induced vesicopathy]
Martin Lieb1, Markus Bader, Ulrich Palm
1Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik, Ludwig-Maximilians-Universität, München. martin.lieb@med.unimuenchen.de
Abstract:
We 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.
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