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Voiding dysfunction due to neurosyphilis.

S J Garber¹, T J Christmas, D Rickards

¹Department of Radiology, Middlesex Hospital, London.

British Journal of Urology

|July 1, 1990

Summary

This summary is machine-generated.

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Neurosyphilis can cause significant bladder dysfunction, including urinary frequency and incontinence. This study highlights detrusor hyper-reflexia and dyssynergia in neurosyphilis patients, differing from prior tabes dorsalis findings.

Area of Science:

Urology
Neurology
Infectious Diseases

Background:

Neurosyphilis, a tertiary syphilis manifestation, can affect the central nervous system.
Urinary dysfunction is a known complication, but specific urodynamic findings are less characterized.

Observation:

Three neurosyphilis patients presented with urinary frequency, incontinence, and voiding dysfunction.
Unlike previous reports of areflexia in tabes dorsalis, these patients exhibited distinct urodynamic abnormalities.

Findings:

All patients demonstrated hypocompliant detrusor hyper-reflexia with detrusor-sphincter dyssynergia.
Post-micturition residual urine was a consistent finding.
One patient also had bladder neck dyssynergia, managed with bladder neck incision.

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Implications:

These findings expand the understanding of neurosyphilis-related bladder dysfunction.
Management strategies include intermittent catheterization and, in severe cases, urinary diversion.
Highlights the importance of urodynamic assessment in neurosyphilis patients with voiding issues.