Bladder Perforation From Capsaicin Infusion : A Case Report

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Sittiporn Srinualnad
Teerapon Amornvesukit
Suchai Soontrapa


We reported a 36-year-old patient, with a spinal cord lesion who had bladder perforation during an infusion of 400 mls of Capsaicin (1mMol in 30% alcohol) for treatment of detrusor hyperreflexia. Under spinal anesthesia during the procedure he was restless and complained of chest discomfort. The operation was therefore terminated and a cystogram was carried out. Cystography showed extraperitoneal leakage of contrast media. He was treated conservatively and had an uneventful post-operative period. To prevent this complication, we therefore recommend an infusion volume of Capsaicin of between half to two-thirds of the patients bladder capacity together with pressure monitoring during the procedure.


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Srinualnad, S. ., Amornvesukit, T. ., & Soontrapa, S. . (2020). Bladder Perforation From Capsaicin Infusion : A Case Report. Siriraj Medical Journal, 53(1), 38–42. Retrieved from
Case Report