Related Experiment Videos
[Vesicourethral dysfunction in the acquired immunodeficiency syndrome (AIDS)]
F J Begara Morillas1, J Salinas Casado, A Silmi Moyano
1Cátedra y Servicio de Urología, Unidad de SIDA, Hospital Universitario San Carlos, Madrid, España.
Archivos Espanoles De Urologia
|November 1, 1995
Summary
Urge incontinence and detrusor-external sphincter dyssynergia are common in patients with acquired immunodeficiency syndrome (AIDS). Urodynamic evaluation can help detect neurological complications in these patients.
Area of Science:
- Urology
- Neurology
- Infectious Diseases
Context:
- Acquired immunodeficiency syndrome (AIDS) can lead to various neurological complications.
- Voiding disorders are frequently observed in patients with AIDS.
- The relationship between AIDS, neurological dysfunction, and lower urinary tract symptoms requires further investigation.
Purpose:
- To determine the most common type of lower urinary tract dysfunction in patients with AIDS.
- To assess the utility of urodynamic evaluation in detecting neurological disease in AIDS patients.
Summary:
- This study evaluated ten patients with AIDS and voiding disorders using urodynamic evaluations.
- The most frequent symptom identified was urge incontinence, with detrusor-external sphincter dyssynergia being the most common urodynamic finding.
- Among five patients with diagnosed neurological disorders, three exhibited functional lower urinary tract abnormalities, including detrusor hyperreflexia and sympathetic decentration.
Impact:
- Identifying functional urinary disorders in AIDS patients can prevent complications and enhance quality of life.
- Urodynamic findings may serve as an early indicator of existing or developing neurological lesions.
- This research underscores the importance of urological assessment in the comprehensive management of AIDS.