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Bladder Dysfunction due to Human T‐lymphotrophic Virus Type I Associated Myelopathy
Author(s) -
SAITO M.,
KONDO A.,
KATO K.,
GOTOH M.
Publication year - 1991
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.1991.tb15351.x
Subject(s) - urination , medicine , myelopathy , complication , urology , urinary bladder , surgery , urinary system , spinal cord , psychiatry
Summary Bladder dysfunction is a major complication of human T‐lymphotrophic virus type I associated myelopathy (HAM). Four patients (3 females and 1 male, aged between 23 and 44 years), who had suffered from HAM for an average of 6 years complained variously of difficulty in micturition, frequency, bed wetting and/or urge incontinence. They were investigated urodynamically. A significant amount of urine was retained in the bladder of 3 patients. During the storage phase, bladder sensation was well preserved in all 4 patients but severe uninhibited detrusor contractions were observed in 3. At micturition, detrusor contractility was present in 3 and completely lost in 1. Of the 4 patients with HAM, 3 suffered from detrusor hyper‐reflexia and 1 from detrusor areflexia.