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Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication

BACKGROUND: Spinal cord injury patients, who manage their bladder using a condom catheter, are at risk of developing urine retention when they consume large volumes of alcoholic drinks within a short period of time. CASE PRESENTATION: A male tetraplegic patient had been managing satisfactorily penil...

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Autores principales: Vaidyanathan, Subramanian, Selmi, Fahed, Hughes, Peter L, Singh, Gurpreet, Soni, Bakul M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610891/
https://www.ncbi.nlm.nih.gov/pubmed/26508892
http://dx.doi.org/10.2147/IMCRJ.S86295
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author Vaidyanathan, Subramanian
Selmi, Fahed
Hughes, Peter L
Singh, Gurpreet
Soni, Bakul M
author_facet Vaidyanathan, Subramanian
Selmi, Fahed
Hughes, Peter L
Singh, Gurpreet
Soni, Bakul M
author_sort Vaidyanathan, Subramanian
collection PubMed
description BACKGROUND: Spinal cord injury patients, who manage their bladder using a condom catheter, are at risk of developing urine retention when they consume large volumes of alcoholic drinks within a short period of time. CASE PRESENTATION: A male tetraplegic patient had been managing satisfactorily penile sheath drainage for 8 years. He went out socializing during which he consumed large volumes of alcohol but did not take any recreational drugs. The following morning, he noticed distension of the lower abdomen and passed urine in dribbles. He then developed a temperature and became unwell. He was seen by district nurses and a doctor, who prescribed antibiotics. He continued to feel unwell. After 8 days, he referred himself to a spinal unit at Regional Spinal Injuries Centre, Southport. The blood test results showed the following: blood urea: 19.8 mmol/L; creatinine: 172 μmol/L; and C-reactive protein: 336.4 mg/L. Urethral catheterization led to immediate drainage of 1,400 mL of urine. A computed tomography scan revealed an enlarged, swollen left kidney, indicating acute bacterial nephritis. He was prescribed intravenous fluids and Meropenem. Creatinine decreased to 46 μmol/L. CONCLUSION: Spinal cord injury patients using condom catheters should be made aware of the risk of urine retention when they consume large amounts of alcoholic drinks in a short period of time. Patients and caregivers should be informed to consider intermittent catheterizations for 24–48 hours or insert indwelling urethral catheter when planning for an evening out.
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spelling pubmed-46108912015-10-27 Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication Vaidyanathan, Subramanian Selmi, Fahed Hughes, Peter L Singh, Gurpreet Soni, Bakul M Int Med Case Rep J Case Report BACKGROUND: Spinal cord injury patients, who manage their bladder using a condom catheter, are at risk of developing urine retention when they consume large volumes of alcoholic drinks within a short period of time. CASE PRESENTATION: A male tetraplegic patient had been managing satisfactorily penile sheath drainage for 8 years. He went out socializing during which he consumed large volumes of alcohol but did not take any recreational drugs. The following morning, he noticed distension of the lower abdomen and passed urine in dribbles. He then developed a temperature and became unwell. He was seen by district nurses and a doctor, who prescribed antibiotics. He continued to feel unwell. After 8 days, he referred himself to a spinal unit at Regional Spinal Injuries Centre, Southport. The blood test results showed the following: blood urea: 19.8 mmol/L; creatinine: 172 μmol/L; and C-reactive protein: 336.4 mg/L. Urethral catheterization led to immediate drainage of 1,400 mL of urine. A computed tomography scan revealed an enlarged, swollen left kidney, indicating acute bacterial nephritis. He was prescribed intravenous fluids and Meropenem. Creatinine decreased to 46 μmol/L. CONCLUSION: Spinal cord injury patients using condom catheters should be made aware of the risk of urine retention when they consume large amounts of alcoholic drinks in a short period of time. Patients and caregivers should be informed to consider intermittent catheterizations for 24–48 hours or insert indwelling urethral catheter when planning for an evening out. Dove Medical Press 2015-10-15 /pmc/articles/PMC4610891/ /pubmed/26508892 http://dx.doi.org/10.2147/IMCRJ.S86295 Text en © 2015 Vaidyanathan et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Vaidyanathan, Subramanian
Selmi, Fahed
Hughes, Peter L
Singh, Gurpreet
Soni, Bakul M
Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
title Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
title_full Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
title_fullStr Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
title_full_unstemmed Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
title_short Urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
title_sort urinary retention and acute kidney injury in a tetraplegic patient using condom catheter after partying: a preventable complication
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610891/
https://www.ncbi.nlm.nih.gov/pubmed/26508892
http://dx.doi.org/10.2147/IMCRJ.S86295
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