•  
  •  
 

Rehabilitation Practice and Science

Translated Title

急性尿滯留與帶狀皰疹之探討：病例報告

Abstract

Urinary retention is an uncommon complication of herpes zoster infection. It may happen secondary to a neurogenic bladder when the sacral dorsal root ganglia are involved. As a result, painful vesicular eruptions spreading over sacral dermatomes, such as buttock and perineum, may develop. Bladder and/or bowel dysfunction may occur as well, including urinary retention, constipation, and/or incontinence. The herpes zoster lesions usually have an unilateral dermatomal distribution. A 55-year-male patient with herpes zoster infection involving bilateral S2-S4 dermatomes is demonstrated. Acute urinary retention occurred 2 days before skin vesicular eruptions. His urine analysis revealed normal finding. Urodynamic study was taken and followed by intermittent catheterization program with oral bethanechol 25 mg four times a day. Urination became normal one month later after bladder dysfunction. The bladder dysfunction of most patients recovered completely after skin vesicular eruptions resolved, and only in some rare cases the urinary retention might persist permanently. As for treatment, in addition to pain relief and skin care, we should focus on early management of bladder dysfunction, to avoid the complication of bladder over-distention.

Language

Traditional Chinese

First Page

111

Last Page

115

Download

Share

COinS