Diabetic Cystopathy In A Type 2 DM Patient *Omosule

Abstract

Diabetic cystopathy is a well -recognized but often overlooked complication of diabetes mellitus which usually develops in middle age or at least ten years after the onset of hyperglycemia. In this case report, we present a 48 year old man, diagnosed diabetic ten years before, who presented with painless abdominal swelling and incomplete bladder emptying of a month duration. Random blood glucose at presentation was 30mmol/l. He was managed as a case uncontrolled type 2 Diabetes mellitus with multiple chronic complications amongst which was diabetic cystopathy which prompted him to seek medical intervention. Glycaemic control was achieved with the use of insulin. Initial retention was relieved by passage of a urethral catheter and subsequently timed voiding was emphasized. Good glycaemic control was associated with a signicant improvement in symptoms.