Bladder dysfunction due to Behçet's disease

Area of Science:

• Urology
• Neurology
• Rheumatology

Background:

• Behçet's disease is a multisystem inflammatory disorder.
• Urogenital manifestations are common, including ulcers and cystitis.
• Neurogenic bladder is a rare but significant complication.

Observation:

• Two cases of neurogenic bladder secondary to Behçet's disease are presented.
• Both patients exhibited detrusor hyperreflexia and detrusor-sphincter dyssynergia.
• Urodynamic findings indicate significant bladder dysfunction.

Findings:

• One patient managed with intravesical oxybutynin and clean intermittent catheterization (CIC).
• The second patient managed with CIC alone.
• Both treatment regimens aimed to improve bladder emptying and prevent upper tract damage.

Implications:

• Highlights the importance of recognizing neurogenic bladder in Behçet's disease patients.
• Suggests tailored management strategies involving anticholinergics and CIC are effective.
• Emphasizes the need for multidisciplinary care for complex Behçet's disease cases.