Related Experiment Video

Updated: Oct 19, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

[Two cases of urinary retention secondary to aseptic meningitis]

Y Shimizu1, S Yamamoto, K Inoue

  • 1Department of Urology, Hamamatsu Rosai Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|August 12, 1999
PubMed

Insights

Aseptic meningitis can rarely cause urinary retention, leading to an atonic bladder. This condition is treatable with conservative therapy, with bladder function typically resolving within weeks.

Area of Science:

  • Neurology
  • Urology
  • Infectious Diseases

Background:

  • Aseptic meningitis is an inflammation of the meninges not caused by bacterial infection.
  • Urinary retention is the inability to fully empty the bladder.
  • The association between aseptic meningitis and urinary retention is rare.

Observation:

  • Two cases of urinary retention secondary to aseptic meningitis are presented.
  • Case 1: A 13-year-old boy developed urinary retention with an atonic bladder during aseptic meningitis treatment.
  • Case 2: An 18-year-old woman presented with urinary retention, fever, headache, and vomiting, diagnosed with aseptic meningitis and atonic bladder.

Findings:

  • Both patients experienced urinary retention and atonic bladder.
  • Cystometry confirmed atonic bladder in both cases.
  • Conservative therapy led to the resolution of bladder dysfunction in both patients.

Implications:

  • Highlights a rare neurological complication of aseptic meningitis.
  • Suggests the importance of considering aseptic meningitis in patients with unexplained urinary retention.
  • Emphasizes the effectiveness of conservative management for this rare condition.

Related Concept Videos

Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...