title: Diabetic cystopathy presenting as primary acute urinary retention in a previously undiagnosed young male diabetic patient.
abstract: Lower genito-urinary problems are part of the polyneuropathy of diabetes. Cystopathy affects 40%-85% of diabetic patients, although less than half are symptomatic. We report on a 42-year-old patient who was not known to be diabetic, and who presented to the urologists with primary acute urinary retention. His underlaying disease was detected by a test for random blood glucose. More common causes were excluded with careful clinical and radiological examinations. He was managed with insulin and self-catheterization. Diabetes should be considered as a differential diagnosis in relatively young men who present with unexplained acute urinary retention.
authors.affiliation: Department of Urology, St. Mary's Hospital, Portsmouth, United Kingdom.
authors.forename: E O
authors.initials: EO
authors.lastname: Olapade-Olaopa
authors.forename: R N
authors.initials: RN
authors.lastname: Morley
authors.forename: C J
authors.initials: CJ
authors.lastname: Carter
authors.forename: B H
authors.initials: BH
authors.lastname: Walmsley
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis*; D003929:Diabetic Neuropathies / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D016055:Urinary Retention / Q000209:etiology*