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Delayed Urinary Symptoms Induced by Ketamine.

María Robles-Martínez1,2, Alfonso C Abad1,2, Violeta Pérez-Rodríguez1

  • 1a Doctor and Researcher, Addiction and Dual Diagnosis Unit, Department of Psychiatry , Vall d'Hebron University Hospital-Public Health Agency, Barcelona (ASPB), CIBERSAM , Barcelona , Spain.

Journal of Psychoactive Drugs
|September 22, 2017
PubMed
Summary
This summary is machine-generated.

Ketamine abuse can cause long-term urinary damage, even years after cessation. This case highlights persistent genitourinary symptoms and bladder lesions in a former ketamine user, emphasizing the need for further research.

Keywords:
Addictionbladderdelayedketamineside-effectsurinary

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Area of Science:

  • Urology
  • Toxicology
  • Addiction Medicine

Background:

  • Ketamine abuse is associated with genitourinary damage.
  • Long-term sequelae of ketamine abuse require further investigation.

Observation:

  • A 26-year-old male presented with persistent urinary symptoms including dysuria, frequency, urgency, incontinence, nocturia, hematuria, and suprapubic pain.
  • Symptoms began two years prior to presentation and progressively worsened.
  • The patient had a history of daily intranasal ketamine use (50 mg) from age 15 to 17.

Findings:

  • Cystoscopy revealed lesions consistent with interstitial cystitis.
  • These findings are similar to those observed in other ketamine abusers.
  • This case represents a previously unreported presentation of delayed genitourinary symptoms post-ketamine cessation.

Implications:

  • This case underscores the potential for delayed-onset genitourinary complications following ketamine abuse.
  • Further research is warranted to understand the pathogenesis of ketamine-induced bladder damage.
  • Longitudinal follow-up of former ketamine users is crucial for early intervention and management.