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Neurogenic bladder dysfunction due to Behçet's disease.

C Theodorou1, D Floratos, P Hatzinicolaou

  • 1Urology Department, Polycliniki Hospital, Athens, Greece. theod@eexi.gr

International Journal of Urology : Official Journal of the Japanese Urological Association
|August 31, 1999
PubMed
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This case study highlights a rare instance of neurogenic bladder dysfunction in Behcet's disease. Surgical intervention, augmentation clam-type sigmoidoplasty, successfully resolved urinary incontinence and lower urinary tract symptoms.

Area of Science:

  • Urology
  • Neurology
  • Rheumatology

Background:

  • Behcet's disease is a rare, chronic, multisystem inflammatory disorder of unknown etiology.
  • Genitourinary tract involvement is common, but neurogenic bladder dysfunction is exceptionally rare.
  • This case highlights a rare neurological complication of Behcet's disease.

Observation:

  • A 17-year-old male with Behcet's disease and neurological involvement presented with urinary incontinence.
  • Urodynamic evaluation revealed a hyperreflexic detrusor, indicative of neurogenic bladder.
  • The patient had a history of neglected lower urinary tract symptoms.

Findings:

  • Medical management with oxybutynin chloride failed to resolve the neurogenic bladder symptoms.
  • Augmentation clam-type sigmoidoplasty was performed due to treatment failure.

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  • Postoperatively, the patient achieved urinary continence and resolution of lower urinary tract symptoms.

    • Implications:

    • Surgical intervention, such as augmentation sigmoidoplasty, can be an effective treatment for refractory neurogenic bladder in Behcet's disease.
    • This case expands the understanding of Behcet's disease neurological manifestations.
    • Early diagnosis and management of genitourinary symptoms in Behcet's disease are crucial.