And with those under 25, its more than tripled. A growing concern for the british association of urological surgeons. I think weve seen a huge explosion of young people taking ketamine, and that means that they come to see us with significant urinary symptoms. And these symptoms can include going to the toilet every hour or every half an hour. And what the ketamine does is it destroys the lining of the bladder, and that can have very serious consequences. Weve noticed throughout the whole country we always have discussions amongst other urologists that theres a huge explosion. All of us have seen pockets in certain places, some very high use of ketamine, and lots of young patients with severe Bladder Problems that we would not see until patients are much older. As a result, theyre now putting together a document to help other Health Professionals spot the signs of ketamine bladder. Ketamine is really