Pregnancy with a successful vaginal delivery following Augme
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Ketamine, a dissociative anesthetic agent, is an N-methyl-D-aspartate receptor antagonist. Ketamine abusers presenting with severe dysuria, frequency, urgency, gross hematuria, and suprapubic pain have been reported worldwide since the first description by Shahani et al.Chung et al. performed augmentation enterocystoplasty (AE) in patients with a contracted bladder capacity of less than 100 mL to relieve refractory ketamine-associated bladder pain and lower urinary tract symptoms. AE has been found to be effective for improving symptoms in patients who have exhibited a sustained cessation of ketamine use. Limited studies of pregnancy with a vaginal delivery or cesarean section after AE have been published. Herein, we report the first case of a successful vaginal delivery after AE for ketamine cystitis (KC). A 28-year-old female with a 1-year history of ketamine abuse developed ketamine-associated urinary symptoms that were refractory to conservative treatment after the complete cessation of ketamine use. Smooth voiding with increased bladder capacity and minimal postvoid residual urine volume were achieved by performing an augmentation enterocystoplasty. An uneventful pregnancy with the vaginal delivery of a healthy baby occurred postoperatively.

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