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Herpes zoster with dysfunction of bladder and anus
Lancet (London, England)
|December 4, 1976
Summary
Herpes zoster, or shingles, can affect bladder and bowel function, leading to issues like urinary retention or incontinence. While symptoms can be severe, recovery is typically complete.
Area of Science:
- Neurology
- Urology
- Infectious Diseases
Background:
- Herpes zoster (shingles) is a viral infection caused by the varicella-zoster virus.
- The virus can affect nerve pathways, potentially impacting various bodily functions.
Observation:
- This study describes 7 cases of herpes zoster affecting bladder and anal function.
- Reported symptoms include urinary retention, loss of sensation, and incontinence.
- Mucosal lesions were also observed in affected individuals.
Findings:
- Sacral shingles is linked to sensory loss and flaccid detrusor paralysis, affecting bladder control.
- Lumbar shingles can result in urinary retention.
- Shingles affecting higher spinal cord levels may lead to spinal cord damage.
Implications:
- Understanding the neurological impact of shingles on bladder innervation is crucial for patient management.
- Complete recovery is generally expected, suggesting the potential for therapeutic interventions.
- Further research into bladder innervation schemes can inform treatment strategies for post-herpetic dysfunction.
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