Chan Ma, MD; John Wagner, MD; John Maesaka, MD
To the Editors: Urinary urgency is a common manifestation of bladder hyperactivity and irritability, usually resulting from obstruction, inflammation, or neuropathic bladder disease (1). We report two cases of acute-onset, severe urinary urgency unassociated with bladder disease and probably caused by acute intrarenal arterial bleeding.
In the first case, a 34-year-old woman experienced an acute, frantic urge to urinate during renal biopsy as the biopsy needle was withdrawn. She was able to void only a small amount at the time. The sensation of severe urgency lasted for almost 2 hours. She started to pass blood clots within 30 minutes of
Ma C, Wagner J, Maesaka J. Urinary Urgency and Acute Intrarenal Bleeding. Ann Intern Med. ;115:330. doi: 10.7326/0003-4819-115-4-330_1
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Published: Ann Intern Med. 1991;115(4):330.
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