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Herpes zoster-associated voiding dysfunction: a retrospective study and literature review
Po-Hong Chen1, Hsiu-Fang Hsueh, Chang-Zern Hong
1Department of Physical Medicine and Rehabilitation, Kuo General Hospital, Tainan, Taiwan. vspmnr70@yahoo.com.tw
Archives of Physical Medicine and Rehabilitation
|November 8, 2002
Summary
Herpes zoster can cause temporary voiding dysfunction, especially when affecting the lumbosacral area. Prompt treatment, often with catheterization, leads to recovery in most patients with herpes zoster-related urinary issues.
Area of Science:
- Urology
- Infectious Diseases
- Neurology
Background:
- Herpes zoster (shingles) can manifest with diverse symptoms beyond skin eruptions.
- Voiding dysfunction is a recognized, though less common, complication of herpes zoster.
Purpose of the Study:
- To characterize patients with herpes zoster-induced voiding dysfunction.
- To explore the underlying pathophysiology of this complication.
- To recommend optimal management strategies.
Main Methods:
- Retrospective analysis of 423 patients diagnosed with herpes zoster between 1988 and 2000.
- Identification and classification of urologic manifestations.
- Review of treatment regimens and clinical outcomes.
Main Results:
- 17 patients (4.02%) experienced voiding dysfunction, with a higher incidence (28.6%) in those with lumbosacral involvement.
- Urologic issues were categorized as cystitis-associated, neuritis-associated, or myelitis-associated.
- All patients recovered normal or balanced bladder function within 8 weeks, regardless of treatment.
Conclusions:
- Voiding dysfunction is a notable, albeit transient, complication of herpes zoster affecting lumbosacral dermatomes.
- Intermittent or indwelling catheterization is recommended for persistent urinary difficulties.
- The condition typically resolves with a benign clinical course, leading to functional bladder recovery.