Anuria following silver nitrate irrigation for intractable bladder hemorrhage

Area of Science:

• Urology
• Nephrology

Background:

• Intravesical silver nitrate instillation is a recognized treatment for intractable bladder hemorrhage.
• Potential complications of this therapy are not widely documented.

Observation:

• A case report details a patient who developed anuria following intravesical silver nitrate treatment.
• The obstruction was identified at the ureterovesical junction and renal papillae.

Findings:

• Anuria was attributed to obstruction caused by the deposition of silver salts within the urinary tract.
• Endoscopic evacuation of silver deposits and hemodialysis were performed.

Implications:

• This case highlights a rare but serious complication of intravesical silver nitrate therapy.
• Early recognition and intervention, including endoscopic procedures and supportive care like hemodialysis, are crucial for managing this complication.