Abstract
IntroductionHematuria has been described following bladder drainage in 2% to 16% of high-pressure chronic urinary retention treatments by decompression and is generally self-limiting. We describe a case of significant bilateral upper urinary tract hematuria following drainage of high-pressure chronic retention. To the best of our knowledge, the only similar case reported in the literature was in 1944.Case presentationAn 82-year-old Caucasian man was referred to our department with nocturnal enuresis and a palpable bladder. He was catheterized, produced a residual volume of 2900mL, and ended up becoming oliguric. Following investigations, he had bilateral nephrostomies. He was discharged 18 days after presentation.ConclusionsClinicians should keep in mind the presentation discussed in this case report to be able to swiftly manage this extremely rare complication of decompression in patients with high-pressure chronic retention.
Highlights
Hematuria has been described following bladder drainage in 2% to 16% of high-pressure chronic urinary retention treatments by decompression and is generally self-limiting
We report the case of an 82-year-old Caucasian man who instead became oliguric and had significant hematuria affecting the upper renal tract
Over the following 48 hours, he developed significant hematuria causing anemia and requiring bladder irrigation and blood transfusion. He became oliguric and his renal function deteriorated to an estimated glomerular filtration rate (eGFR) of 7mL/minute
Summary
High-pressure chronic retention is maintenance of voiding, with a bladder volume of greater than 800mL and an intravesical pressure above 30cm H2O, accompanied by hydronephrosis [1]. Case presentation An 82-year-old Caucasian man was referred by his general practitioner because of nocturnal enuresis, declining renal function, and a palpable bladder. He was taking aspirin for ischemic heart disease. He declined the procedure on the right side, where the nephrostomy was left in situ and was flushed regularly until an accidental dislodgement. The left nephrostomy was removed, and our patient was discharged on day 18 with an indwelling urethral catheter and listed for an urgent transurethral resection of the prostate
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
