Severe Urinary Retention Secondary to Intrathecal Morphine Pain Pump: A Case Report

Division

Gulf Coast

Hospital

HCA Houston Healthcare West

Document Type

Case Report

Publication Date

11-9-2021

Keywords

urinary retention, pain pump

Disciplines

Female Urogenital Diseases and Pregnancy Complications | Obstetrics and Gynecology | Therapeutics

Abstract

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.

Publisher or Conference

Urology Case Reports

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