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Voiding problems in patients with HIV infection and AIDS
H J Gyrtrup1, V B Kristiansen, C O Zachariae
1Department of Urology D, Rigshospitalet, University of Copenhagen, Denmark.
Scandinavian Journal of Urology and Nephrology
|September 1, 1995
Summary
Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS) minimally impact urinary voiding. Urologic and urodynamic investigations appear to have limited relevance in managing these patients.
Area of Science:
- Urology
- Infectious Diseases
- Neurology
Background:
- Urinary voiding problems can occur in patients with Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS).
- Neurologic complications are known to affect bladder function in various conditions.
Purpose of the Study:
- To prospectively investigate the prevalence and type of urinary voiding problems in HIV/AIDS patients.
- To assess the utility of urologic and urodynamic evaluations in this population.
Main Methods:
- Prospective study of 81 HIV/AIDS patients using questionnaires and urologic evaluations.
- Neurologic examinations for all participants.
- Retrospective analysis of urodynamic data from 13 patients.
Main Results:
- Only a small percentage of patients experienced moderate to severe voiding problems.
- 19 patients had abnormal neurologic findings.
- Neurogenic bladder dysfunction was identified in some patients, potentially secondary to HIV/AIDS.
Conclusions:
- HIV/AIDS infection has a minor impact on urinary voiding, often occurring in advanced disease stages.
- The clinical relevance of urologic and urodynamic investigations in HIV/AIDS patients appears limited.