Raghavaiah N V, Soloway M S
J Urol. 1977 Oct;118(4):681-2. doi: 10.1016/s0022-5347(17)58154-9.
Intravesical silver nitrate has been used for intractable bladder hemorrhage. A case of anuria resulting from this technique is reported. The etiology of anuria in this patient was probably owing to obstruction from deposition of silver salts. The level of obstruction was the ureterovesical junction on 1 side and the collecting ducts at the renal papillae on the other side. Therapy consisted of vigorous endoscopic evacuation of deposited silver salts from the bladder and hemodialysis with good results.
膀胱内注入硝酸银已被用于治疗顽固性膀胱出血。本文报告了1例因该技术导致无尿的病例。该患者无尿的病因可能是银盐沉积造成的梗阻。梗阻部位一侧是输尿管膀胱连接处，另一侧是肾乳头的集合管。治疗方法包括通过内镜大力清除膀胱内沉积的银盐以及进行血液透析，效果良好。
