Urinary Retention Accompanied by Retroperitoneal Urine Leakage in Schizophrenia.
- Author:
Changho LEE
1
Author Information
1. Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. leech@sch.ac.kr
- Publication Type:Case Report
- Keywords:
Urinary retention;
Schizophrenia;
Polydipsia;
Polyuria
- MeSH:
Catheterization;
Catheters;
Emergency Service, Hospital;
Flank Pain;
Humans;
Incontinence Pads;
Kidney Pelvis;
Middle Aged;
Nocturnal Enuresis;
Polydipsia;
Polyuria;
Renal Insufficiency;
Retroperitoneal Space;
Schizophrenia*;
Ureter;
Urinary Bladder;
Urinary Catheters;
Urinary Retention*
- From:Soonchunhyang Medical Science
2014;20(1):48-51
- CountryRepublic of Korea
- Language:English
-
Abstract:
We presented a case of a 46-year-old man who attended the emergency department with right flank pain. Abdominal computed tomography showed dilated renal pelvis, ureter and distended bladder. Fluid collection was seen in retroperitoneal space and pelvic cavity. He had renal insufficiency. When a urethral catheter was inserted, 1,200 mL urine was drained. He was diagnosed with schizophrenia more than 20 years prior, and had been taking anti-psychotics. He had been living in a sanatorium. He had nocturnal enuresis and had worn an incontinence pad nightly for the last 10 years. His fluid consumption was 10 L/day. After placement of an indwelling urethral catheter for relieving voiding problems and restriction of fluid intake, fluid collection in retroperitoneal spaces and pelvic cavity was removed and renal insufficiency was recovered. After training of self-clean intermittent catheterization, he was discharged.
