Varicella-zoster virus and urologic practice: a case-based review
Khushabu Kasabwala1, Gilbert J Wise
1Department of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, New York, USA.
The Canadian Journal of Urology
|June 15, 2018
Summary
Varicella-zoster virus (VZV), or shingles, can affect the urinary system, causing issues like voiding dysfunction. Early recognition and treatment of VZV in urology practice are crucial for better patient outcomes.
Area of Science:
- Urology
- Infectious Diseases
- Virology
Background:
- Varicella-zoster virus (VZV) infection, commonly known as shingles (herpes zoster, HZ), is increasingly prevalent.
- While typically presenting as a skin rash, VZV can manifest with urologic complications.
Purpose of the Study:
- To review the epidemiology, symptomatology, diagnosis, and management of VZV in urologic practice.
- To enhance awareness of VZV's atypical urologic manifestations.
Main Methods:
- A comprehensive PubMed search was conducted.
- Keywords included "herpes zoster," "varicella-zoster virus," and various urologic terms.
Main Results:
- VZV infection, particularly HZ, is rising, affecting older adults and immunocompromised individuals.
- Urologic conditions such as voiding dysfunction, erectile dysfunction, and flank pain are associated with HZ.
- Urologic procedures may trigger HZ outbreaks.
Conclusions:
- Understanding atypical VZV presentations is vital for urologists.
- Prompt diagnosis and treatment of VZV can reduce infection severity and duration.
- Awareness can prevent misdiagnosis and treatment delays.
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