Ketamine bladder

Ketamine bladder or ketamine bladder syndrome refers to lower urinary tract symptoms associated with long-term ketamine use.

The presence of lower urinary tract symptoms in long-term ketamine users has been identified to be as high as 90% in some studies 1.

Symptoms may include 2:

  • dysuria
  • nocturia
  • frequency
  • incontinence
  • hematuria

In users who infrequently take the drug mild intermittent symptoms have been reported 2.

Ultrasound features may include 2:

  • small bladder volume
  • bladder wall thickening

Imaging features on CT may include 2:

  • bladder and ureteric wall thickening
  • mucosal enhancement
  • perivesical inflammation

Treatment mainly involves cessation of the drug and analgesia. In severe cases reconstructive surgery may be required 1,2. Ureteric stricture as well as vesicovaginal fistula formation are possible complications 1-3.

Share article

Article information

rID: 62497
System: Urogenital
Tag: cases
Synonyms or Alternate Spellings:

Support Radiopaedia and see fewer ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.