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Voiding Dysfunction due to Neurosyphilis
Author(s) -
GARBER S. J.,
CHRISTMAS T. J.,
RICKARDS D.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb14857.x
Subject(s) - neurosyphilis , medicine , syphilis , virology , human immunodeficiency virus (hiv)
Summary— Three patients with neurosyphilis presenting with urinary frequency, incontinence and voiding dysfunction were investigated. Unlike the previously reported finding of areflexia in tabes dorsalis, all 3 had hypocompliant detrusor hyper‐reflexia with detrusor‐sphincter dyssynergia and post‐micturition residual urine. One patient also had bladder neck dyssynergia treated by bladder neck incision. The other 2 patients were initially managed by intermittent catheterisation but 1 ultimately underwent urinary diversion. The clinical relevance of these findings and the treatment of this condition are discussed.