A murderer of young bladders: Ketamine-associated cystitis

En Meng, Sheng Tang Wu, Tai Lung Cha, Guang Huan Sun, Dah Shyong Yu, Sheng Yran Chang

研究成果: 雜誌貢獻回顧型文獻同行評審

9 引文 斯高帕斯(Scopus)

摘要

The use of ketamine as a recreational drug, particularly among teenagers, has increased dramatically in the past few years in Taiwan. Its effects on the central nervous and cardiovascular systems are well characterized, but an increasing amount of evidence demonstrates its association with urinary tract pathologies. Chronic ketamine use has been associated with severe ulcerative cystitis. Symptoms and signs of long-term ketamine abuse include: hematuria; increased voiding frequency; urgency; bladder pain; dysuria; nocturia; decreased bladder capacity; urothelial ulceration, and eosinophil infiltration. Vesicoureteral reflux and renal function impairment may also occur in heavy ketamine users. How ketamine use produces these symptoms is not clear. Dysregulation of purinergic neurotransmission has recently been found to play a role in the detrusor overactivity in ketamine-induced bladder dysfunction. The goal of treatment is to prevent deterioration of the renal function and indeed offer the possibility of symptom resolution. Currently, ketamine cessation is the only effective treatment modality, but the effect is likely to be dependent on the severity and duration of the abuse. Anticholinergic agents fail to relieve the symptoms induced by chronic ketamine use. Intravesical hyaluronan solution instillation may help improve the symptoms, but more clinical studies are required to provide evidence of the effectiveness. A multidisciplinary treatment team of doctors, psychiatrists, nurses, therapists, and clinicians will facilitate best practice management of patients with ketamine-associated cystitis.

原文英語
頁(從 - 到)113-116
頁數4
期刊Urological Science
24
發行號4
DOIs
出版狀態已發佈 - 一月 1 2013
對外發佈Yes

ASJC Scopus subject areas

  • Urology

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