| Herpes zoster-associated acute urinary retention: a case report. | |
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MedLine Citation:
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PMID: 16520890 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jimmy J Julia; Hilary J Cholhan |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-03-07 |
Journal Detail:
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Title: International urogynecology journal and pelvic floor dysfunction Volume: 18 ISSN: - ISO Abbreviation: Int Urogynecol J Pelvic Floor Dysfunct Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2006-11-23 Completed Date: 2007-04-12 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 9514583 Medline TA: Int Urogynecol J Pelvic Floor Dysfunct Country: England |
Other Details:
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Languages: eng Pagination: 103-4 Citation Subset: IM |
Affiliation:
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Women's Continence Center of Greater Rochester, Rochester, NY, USA. jjjulia73@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Atenolol / therapeutic use Catheterization Drug Therapy, Combination Female Herpes Zoster / complications*, drug therapy* Humans Lovastatin / therapeutic use Treatment Outcome Urinary Retention / diagnosis*, drug therapy*, virology Urodynamics |
| Chemical | |
Reg. No./Substance:
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29122-68-7/Atenolol; 75330-75-5/Lovastatin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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