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Urinary dysfunction in Lyme disease

M B Chancellor1, D E McGinnis, P J Shenot

  • 1Department of Urology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

The Journal of Urology
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Neuroborreliosis, a neurological complication of Lyme disease, can cause urinary tract dysfunction. Early recognition and conservative management are crucial for patients experiencing voiding issues alongside Lyme disease symptoms.

Area of Science:

  • Neurology
  • Urology
  • Infectious Diseases

Background:

  • Lyme disease, caused by Borrelia burgdorferi, presents with diverse neurological sequelae.
  • Neuroborreliosis is a recognized complication, but its impact on lower urinary tract function is less understood.

Observation:

  • Seven patients with neuroborreliosis and lower urinary tract dysfunction were evaluated.
  • Urodynamic studies showed detrusor hyperreflexia in five and areflexia in two patients.
  • Direct invasion of the urinary tract by Borrelia burgdorferi was confirmed in one case via biopsy.

Findings:

  • Voiding dysfunction can be a manifestation of neuroborreliosis.
  • The Lyme spirochete may directly infect the urinary tract.
  • Neurological and urological symptoms associated with Lyme disease often have protracted resolution and a high risk of relapse.

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Implications:

  • Urologists in endemic areas should consider Borrelia burgdorferi infection in the differential diagnosis of neurogenic bladder.
  • Urodynamic evaluation is essential for guiding conservative bladder management, including clean intermittent catheterization.
  • Awareness of potential urinary tract involvement in Lyme disease is critical for comprehensive patient care.