Psoas hitch and ureteral re-implantation in an augmented bladder with ketamine uropathy: A case report

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• 作者：Nicole Miu-Yee Cheng ; Jeremy Yuen-Chun Teoh ; Chi-Hang Yee ; See-Ming Hou and Chi-Fai Ng
• 刊名：Surgical Practice
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：21
• 期：1
• 页码：51-53
• 全文大小：433K
• ISSN：1744-1633

文摘

Ketamine has become a popular recreational drug among Asians in recent years. Ketamine uropathy is well known to affect the lower urinary tract leading to urgency, frequency, incontinence and pelvic pain. Concomitant upper urinary tract involvement with ureteric stricture is less common. We hereby present a case of a patient with ketamine-related bladder contracture initially treated with augmentation cystoplasty, who subsequently developed left lower ureteric stricture requiring psoas hitch and ureteral re-implantation. We further discussed the fundamental principles in managing ketamine uropathy.