Diabetic cystopathy presenting as primary acute urinary retention in a previously undiagnosed young male diabetic patient.
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.
Olapade-Olaopa
E O
EO
Department of Urology, St. Mary's Hospital, Portsmouth, United Kingdom.
Morley
R N
RN
Carter
C J
CJ
Walmsley
B H
BH
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*