Volume 21, Issue 1 pp. 51-53
MULTI-MEDIA ARTICLE

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

Nicole Miu-Yee Cheng

Nicole Miu-Yee Cheng

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

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Jeremy Yuen-Chun Teoh

Jeremy Yuen-Chun Teoh

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

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Chi-Hang Yee

Chi-Hang Yee

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

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See-Ming Hou

See-Ming Hou

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

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Chi-Fai Ng

Corresponding Author

Chi-Fai Ng

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong

Department of Surgery, S.H.Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong

Author to whom all correspondence should be addressed.

Email: [email protected]

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First published: 24 January 2017
Citations: 2

Abstract

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.

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