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[Vesicosphincteric disorders and neurosyphilis].

Abdellatif Benchekroun1, Hassan Jira, el Hassane Kasmaoui

  • 1Service d'Urologie A, Hôpital Avicenne, Rabat, Maroc. benchek@mtas.com

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 23, 2002
PubMed
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Neurosyphilis, a rare cause of voiding disorders, can manifest with symptoms like urinary retention and detrusor areflexia. Systematic screening for sexually transmitted diseases is crucial for unexplained voiding issues.

Area of Science:

  • Neurology
  • Urology
  • Infectious Diseases

Background:

  • Neurosyphilis, a tertiary manifestation of syphilis infection, rarely presents with neurological symptoms affecting bladder function.
  • Voiding disorders are increasingly diagnosed as idiopathic, potentially delaying diagnosis of underlying causes.

Observation:

  • A patient presented with knee arthritis, dysuria, and chronic urinary retention, indicative of a voiding disorder.
  • Urethrocystography revealed a distended bladder with significant post-voiding residual urine volume.
  • Urodynamic studies demonstrated detrusor areflexia, signifying impaired bladder muscle contractility.

Findings:

  • The patient's constellation of symptoms and urodynamic findings were attributed to neurosyphilis.
  • This case highlights the atypical presentation of neurosyphilis in contemporary urological practice.

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Implications:

  • The study underscores the importance of considering neurosyphilis in the differential diagnosis of idiopathic voiding disorders.
  • Systematic serological testing for sexually transmitted diseases is recommended for patients with unexplained urinary retention and bladder dysfunction.