Document Detail

Herpes zoster-associated acute urinary retention: a case report.
MedLine Citation:
PMID:  16520890     Owner:  NLM     Status:  MEDLINE    
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.
Jimmy J Julia; Hilary J Cholhan
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-03-07
Journal Detail:
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:
Created Date:  2006-11-23     Completed Date:  2007-04-12     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  103-4     Citation Subset:  IM    
Women's Continence Center of Greater Rochester, Rochester, NY, USA.
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MeSH Terms
Aged, 80 and over
Atenolol / therapeutic use
Drug Therapy, Combination
Herpes Zoster / complications*,  drug therapy*
Lovastatin / therapeutic use
Treatment Outcome
Urinary Retention / diagnosis*,  drug therapy*,  virology
Reg. No./Substance:
29122-68-7/Atenolol; 75330-75-5/Lovastatin

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