Acute Urinary Suppression after Ureteral Catheterization

Abstract

SEVERE oliguria or anuria is a rare but serious sequel of ureteral catheterization. The term "reflex anuria" has been applied to this phenomenon, implying that the suppression of urine flow is the result of neurogenic factors somehow initiated by ureteral manipulation and mediated through the autonomic nervous system. Painful physical and psychic stimuli have been shown to produce depression of renal blood flow1 and liberation of antidiuretic hormone.2 However, these effects are short-lived and are never so profound as to produce life-threatening anuria.We have had the opportunity of studying 3 patients with severe oliguria and rapidly progressive azotemia after . . .