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2015 ; 8
(ä): 241-5
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Urinary retention and acute kidney injury in a tetraplegic patient using condom
catheter after partying: a preventable complication
#MMPMID26508892
Vaidyanathan S
; Selmi F
; Hughes PL
; Singh G
; Soni BM
Int Med Case Rep J
2015[]; 8
(ä): 241-5
PMID26508892
show ga
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 ?mol/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 ?mol/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.