Herpes zoster-associated acute urinary retention: a case report |
| |
Authors: | Jimmy J Julia Hilary J Cholhan |
| |
Institution: | (1) Women’s Continence Center of Greater Rochester, Rochester, NY, USA |
| |
Abstract: | An 87-year-old woman presents with a 4-week history of urinary incontinence during which she had been treated for disseminated
herpes zoster virus (HZV). On physical exam painful vesicles involving the entire vulvar region with mainly right sacral distribution
were found. A catheterized volume exceeded 600 ml of retained urine after the patient failed to void spontaneously. Multichannel
voiding-pressure urodynamic studies revealed an acontractile neurogenic bladder with overflow incontinence. The patient was
discharged on a conservative regimen with arrangement for visiting nurse services to perform intermittent self-catheterization
twice daily. Urodynamic testing was repeated 10 weeks after initial symptoms. During voiding cystometry a biphasic increase
in detrusor pressure of 15 cm H2O was observed with no increase in abdominal pressure. The patient emptied 400 ml with a postvoid residual of 300 ml. Recovery
from HZV-associated bladder emptying dysfunction can be achieved usually through conservative management, including intermittent
self-catheterization. Complete recovery time ranges from 4 to 10 weeks. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |