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Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria

Post-obstructive diuresis and decompressive hematuria are rare but potentially serious complications of severe urinary retention. This is a case report of a 73-year-old patient with undiagnosed severe large-volume urinary retention who developed extreme cases of both complications after presenting w...

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Detalles Bibliográficos
Autores principales: Klamfoth, Jeanette K, Burtson, Kathryn M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512517/
https://www.ncbi.nlm.nih.gov/pubmed/36176478
http://dx.doi.org/10.7759/cureus.29626
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author Klamfoth, Jeanette K
Burtson, Kathryn M
author_facet Klamfoth, Jeanette K
Burtson, Kathryn M
author_sort Klamfoth, Jeanette K
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description Post-obstructive diuresis and decompressive hematuria are rare but potentially serious complications of severe urinary retention. This is a case report of a 73-year-old patient with undiagnosed severe large-volume urinary retention who developed extreme cases of both complications after presenting with progressive weight gain, lower extremity edema, worsening dyspnea, and new-onset urinary incontinence. Upon further evaluation, the patient was determined to have acute renal failure, bilateral hydroureteronephrosis, a severely distended urinary bladder, and an enlarged prostate. Foley catheterization produced 5.9 L of urinary output with initial placement. He required prolonged hospitalization for hemodynamic monitoring requiring fluid resuscitation, serial electrolyte monitoring requiring repletion, acute blood loss anemia requiring four units of red blood cell transfusion, continuous bladder irrigation, three cystoscopies under anesthesia, and intravesicular fibrinolysis inhibitor instillations. This case illustrates an extreme severity of post-obstructive diuresis and decompressive hematuria in chronic urinary retention that has not been previously described in the literature.
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spelling pubmed-95125172022-09-28 Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria Klamfoth, Jeanette K Burtson, Kathryn M Cureus Internal Medicine Post-obstructive diuresis and decompressive hematuria are rare but potentially serious complications of severe urinary retention. This is a case report of a 73-year-old patient with undiagnosed severe large-volume urinary retention who developed extreme cases of both complications after presenting with progressive weight gain, lower extremity edema, worsening dyspnea, and new-onset urinary incontinence. Upon further evaluation, the patient was determined to have acute renal failure, bilateral hydroureteronephrosis, a severely distended urinary bladder, and an enlarged prostate. Foley catheterization produced 5.9 L of urinary output with initial placement. He required prolonged hospitalization for hemodynamic monitoring requiring fluid resuscitation, serial electrolyte monitoring requiring repletion, acute blood loss anemia requiring four units of red blood cell transfusion, continuous bladder irrigation, three cystoscopies under anesthesia, and intravesicular fibrinolysis inhibitor instillations. This case illustrates an extreme severity of post-obstructive diuresis and decompressive hematuria in chronic urinary retention that has not been previously described in the literature. Cureus 2022-09-26 /pmc/articles/PMC9512517/ /pubmed/36176478 http://dx.doi.org/10.7759/cureus.29626 Text en Copyright © 2022, Klamfoth et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Klamfoth, Jeanette K
Burtson, Kathryn M
Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria
title Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria
title_full Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria
title_fullStr Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria
title_full_unstemmed Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria
title_short Severe Urinary Retention Resulting in Extreme Post-obstructive Diuresis and Decompressive Hematuria
title_sort severe urinary retention resulting in extreme post-obstructive diuresis and decompressive hematuria
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512517/
https://www.ncbi.nlm.nih.gov/pubmed/36176478
http://dx.doi.org/10.7759/cureus.29626
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