Document Detail


Neurogenic bladder: a complication after endoscopic adhesiolysis with return of bladder function while using nitrofurantoin.
MedLine Citation:
PMID:  20304983     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the case of a 73-year-old woman with a history of chronic low back pain and 2 previous lumbar fusions who presented with complaints of worsening back and leg pain. Having previously undergone multiple interventions, physical therapy, and oral analgesics with limited pain relief, the patient opted for endoscopic lysis of adhesions for severe scarring of the epidural space. Subsequently, the patient developed a neurogenic bladder with urinary retention. Three years later, she experienced resolution of the neurogenic bladder symptoms that coincided with the use of the antibiotic nitrofurantoin. Upon discontinuation of the antibiotic, the patient noted that she was unable to void spontaneously. With reinstitution of nitrofurantoin, the patient was once again able to void effectively and has been maintained on nitrofurantoin for >3 years.
Authors:
Rafael Justiz; Victor Taylor; Miles Day
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-19
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  110     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-05-13     Revised Date:  2010-05-28    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1496-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology and Pain Management, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA. rjustiz@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Infective Agents, Urinary / therapeutic use*
Female
Humans
Low Back Pain / surgery
Magnetic Resonance Imaging
Nitrofurantoin / therapeutic use*
Postoperative Complications / drug therapy*,  physiopathology
Recovery of Function
Spinal Fusion / adverse effects
Tissue Adhesions / surgery*
Urinary Bladder / physiopathology*
Urinary Bladder, Neurogenic / drug therapy*,  etiology*,  physiopathology
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Urinary; 67-20-9/Nitrofurantoin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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