Open AccessUpper urinary tract damage caused by ketamine snorting—A report of nine cases
Author(s) -
HsiangYing Lee,
YuChao Hsu,
ChaoYu Hsu,
Eric ChiehLung Chou,
Ching-Chia Li,
YungShun Juan,
Mei-Yu Jang
Publication year - 2015
Publication title -
urological science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 8
eISSN - 1879-5234
pISSN - 1879-5226
DOI - 10.1016/j.urols.2015.07.008
Subject(s) - medicine , dysuria , hydronephrosis , upper urinary tract , urinary system , ketamine , genitourinary system , abdominal pain , flank pain , lower urinary tract symptoms , surgery , urology , anesthesia , prostate , cancer
ObjectiveThe toxicity of ketamine to genitourinary system not only involved in lower urinary tract, which include urinary frequency, urgency, suprapubic pain, dysuria and hematuria, but also upper urinary tracts. However, the reports of ketmaine-induced upper urinary tract damage were rare.Materials and methodsHerein, we reported nine ketamine abusers presented with moderate flank pain with hydronephrosis and lower urinary tract symptoms from three medical centers located around Taiwan.ResultsAll patients were diagnosed of hydronephrosis by sonography or abdominal computed tomography scans and 7 cases combined with acute kidney injury. They all receive ureteroscopy exam and double-J stenting. All of their flank pain and renal function impairment improved during follow up.ConclusionTo the best of our knowledge, currently there is no standard therapy for ketamine-induced nephropathy, we therefore supplied a therapeutic choice for those ketamine abuser combined with hydronephrosis and/or acute kidney injury