Herpes zoster-associated acute urinary retention: a case report

International Urogynecology Journal and Pelvic Floor Dysfunction
Jimmy J Julia, Hilary J Cholhan

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.

References

Jan 1, 1993·European Urology·E BrosetaJ F Jimenez-Cruz
Nov 26, 1998·Neurourology and Urodynamics·T YamanishiH Ito

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Citations

Oct 30, 2009·Current Urology Reports·Bernard T Haylen
Apr 29, 2014·Clinics in Dermatology·Ivan StaikovNikolai Tsankov
Jun 6, 2008·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Gemma Blain, Hans Peter Dietz

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