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Urinary retention due to herpes virus infections

✍ Scribed by Tomonori Yamanishi; Kosaku Yasuda; Ryuji Sakakibara; Takamichi Hattori; Tomoyuki Uchiyama; Masahiro Minamide; Haruo Ito


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
68 KB
Volume
17
Category
Article
ISSN
0733-2467

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✦ Synopsis


Urinary retention is uncommon in patients with herpes zoster and anogenital herpes simplex. Seven patients (four men, three women) with a mean age of 68.1 years (range, 35-84) with urinary retention due to herpes zoster (n ‫ב‬ 6) or anogenital herpes simplex (n ‫ב‬ 1) were studied. Six patients had unilateral skin eruption in the saddle area (S2-4 dermatome) and one patient with herpes zoster had a skin lesion in the L4-5 dermatome. All patients had detrusor areflexia without bladder sensation, and two of them had inactive external sphincter on electromyography at presentation. Clean intermittent catheterization was performed, and voiding function was recovered in 4-6 weeks (average, 5.4) in all patients. Urodynamic study was repeated after recovery of micturition in three patients, and they returned to normal on cystometrography and external sphincter electromyography. Acute urinary retention associated with anogenital herpes infection has been thought to occur when the meninges or sacral spinal ganglia were involved, and, in conclusion, this condition may be considered to be reversible.


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