Ketamine-Induced Uropathy in a High-Prevalence Region: Knowledge, Diagnostic Practices, and Treatment Patterns Among Primary and Secondary Care Providers.
Cureus June 1, 2025 Zakaria W Shkoukani, Praveen Gopi, Lauren Tate et al. 1 citation
Ketamine-induced uropathy (KIU) is a growing problem from recreational ketamine use that can progressively damage the urinary tract, yet many clinicians lack awareness and standardized approaches to manage it. In a region of the United Kingdom with high KIU incidence, secondary care professionals showed significantly greater awareness of KIU than primary care professionals, though familiarity with British Association of Urological Surgeons guidelines was limited overall. Primary care providers lacked confidence in managing KIU and often deferred to secondary services; many also believed law enforcement should be involved. High non-attendance rates (41.5%) underscored the need for early psychosocial support. General practitioners expressed strong interest in targeted education to improve community care.