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A 68-Year-Old Man with Urinary Incontinence.
Connor Lough1, Nicholas Lanzotti1, Ahmer Farooq1
1from the Loyola University Medical Center Urology Residency Program.
NEJM Evidence
|March 25, 2025
Summary
A kidney transplant recipient with end-stage renal disease experienced urinary incontinence. A structured clinical approach, including diagnostic testing, led to the final diagnosis.
Area of Science:
- Nephrology
- Urology
- Medical Education
Background:
- Morning Report is a traditional medical education conference.
- It involves case presentations for collaborative diagnosis.
- This case focuses on a post-kidney transplant complication.
Purpose of the Study:
- To present a case of urinary incontinence in a kidney transplant recipient.
- To illustrate a structured clinical approach for diagnosis.
- To engage readers in the diagnostic process.
Main Methods:
- Case report presentation.
- Systematic clinical evaluation including history, physical exam, and diagnostic tests.
- Differential diagnosis refinement through progressive investigation.
Main Results:
- A 68-year-old male with end-stage renal disease presented with urinary incontinence post-transplant.
- Diagnostic workup and clinical course provided key insights.
- A definitive diagnosis was established.
Conclusions:
- A structured, case-based approach is valuable for diagnosing complex post-transplant complications.
- Thorough clinical evaluation is essential in managing renal transplant patients.
- This case highlights a specific diagnostic challenge in urology and nephrology.
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