The occurrence of acute renal failure in patients with neuropathic bladders

A group of patients with neuropathic bladders, who developed acute renal failure, is described. In each instance, sepsis from the urinary tract, its consequences or its treatment was implicated in the aetiology of the renal failure. Aggressive management of acute renal failure in the patients in our...

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Bibliographic Details
Published in:Paraplegia 1982-02, Vol.20 (1), p.35-42
Main Authors: Grundy, D J, Rainford, D J, Silver, J R
Format: Article
Language:English
Subjects:
Acute Kidney Injury - etiology
Adult
Drug-Related Side Effects and Adverse Reactions
Humans
Kidney - drug effects
Male
Middle Aged
Paraplegia - complications
Quadriplegia - complications
Sepsis - etiology
Urinary Bladder, Neurogenic - complications
Urinary Bladder, Neurogenic - etiology
Urinary Tract Infections - complications
Urinary Tract Infections - etiology
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Summary:A group of patients with neuropathic bladders, who developed acute renal failure, is described. In each instance, sepsis from the urinary tract, its consequences or its treatment was implicated in the aetiology of the renal failure. Aggressive management of acute renal failure in the patients in our study showed their survival and functional renal recovery to be no worse than for similar patients without paraplegia. This illustrates that these patients presenting with a rare and serious complication of paraplegia should not be abandoned, since aggressive treatment along conventional lines in consultation with renal physicians and urologists was successful in four out of five of our patients.
ISSN:0031-1758
1362-4393
1476-5624
DOI:10.1038/sc.1982.4