Fregene Eyitemi, Lotze Peter
The Woman's Hospital of Texas, 7600 Fannin St, Houston, TX, 77054, USA.
HCA Houston Healthcare West OB/GYN Residency Program/ University of Houston, 12141 Richmond Ave, Houston, TX, 77082, USA.
Urol Case Rep. 2021 Nov 9;40:101935. doi: 10.1016/j.eucr.2021.101935. eCollection 2022 Jan.
Intrathecal opioid pain pumps (IPP) are sometimes prescribed for treatment of chronic nonmalignant pain. Severe urinary retention is not a commonly reported side effect of the IPP. In this case, an elderly female with multiple comorbidities presented with acute onset of severe urinary retention immediately following morphine IPP placement for chronic peripheral neuropathy. Multiple management strategies for urinary retention were employed. However, the urinary retention only fully resolved once the IPP was disabled. This case highlights the need to closely monitor chronic pain patients with complex medical histories who may be uniquely predisposed to opioid-mediated severe urinary retention.
鞘内阿片类药物止痛泵（IPP）有时会被用于治疗慢性非恶性疼痛。严重尿潴留并非IPP常见的副作用报道。在此病例中，一名患有多种合并症的老年女性在因慢性周围神经病变放置吗啡IPP后，立即出现了急性严重尿潴留。针对尿潴留采用了多种处理策略。然而，只有在停用IPP后，尿潴留才完全缓解。该病例凸显了对于有复杂病史、可能特别易患阿片类药物介导的严重尿潴留的慢性疼痛患者进行密切监测的必要性。
