Introduction: Psychic anuria is an old term, referring to a very rare psycho-urological event that has scarcely been studied so far.
Materials and Methods: A retrospective study of the patients with psychic anuria presented to Assiut Urology and Nephrology Hospital during the period July 1991–June 2016 was done. Psychic anuria was defined, and the demographic and clinical characteristics including the methods of diagnosis and management were studied.
Results: Of more than 3,800 cases of anuria, 9 female patients (0.24%) experienced psychic anuria in the age range of 17–43 years. Cardinal clinical findings included anuria for 36–72 h with absence of organic causes and normal renal function tests. Psychosocial risk factors were reported in the 9 cases. Anuria was documented by reliable history (56%) or observable urine collection (44%). Diagnosis was done by exclusion, where the investigations revealed no organic causes. Seven cases responded to the placebo intervention and 2 cases were self-limiting and resolved spontaneously.
Conclusions: Psychic anuria is an extremely rare urological emergency that presents, mainly, in young adult females with unknown mechanisms. Renal vasoconstriction following psychosocial stressors is suggested. It is diagnosed by exclusion and resolves spontaneously or responds to placebo intervention as a mental distraction technique.
Research Authors
Gadelkareem RA, Moeen AM, Reda A, Azoz NM, Elhadad AF, Taha TM, Mohammed N, Taha MI.
Research Department
Research Journal
Urologia Internationalis
Research Member
Research Publisher
KARGER
Research Rank
1
Research Vol
NULL
Research Website
http://doi.org/10.1159/000488881
Research Year
2018
Research_Pages
NULL
Research Abstract