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• W1998585083 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jul 1996Micturition Disturbances and Human Immunodeficiency Virus Infection J.F. Hermieu, V. Delmas, and L. Boccon-Gibod J.F. HermieuJ.F. Hermieu More articles by this author , V. DelmasV. Delmas More articles by this author , and L. Boccon-GibodL. Boccon-Gibod More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65972-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Human immunodeficiency virus (HIV) infections often lead to urological disorders, including tumors, infections and micturitional disturbances. It often is difficult to identify the origin of voiding disorders but the most frequent causes are infections (prostatitis and so forth), obstruction (cervico-prostatic or urethral) and neurological (encephalitis, myelitis, polyradiculoneuritis and so forth). We determined the etiologies, therapy and clinical outcome of micturitional disturbances in the acquired immunodeficiency syndrome. Materials and Methods: Between February 1989 and September 1992 we studied prospectively 39 HIV positive patients with voiding symptoms, such as straining, urinary retention, frequency and urgency. Each patient underwent a thorough neurological and urological examination, along with radiological evaluation of the urogenital tract and nervous system. Urodynamic evaluation was performed to specify the etiology and type of disturbance before treatment. The patients were followed for 2 to 24 months (mean 9) and 34 (87 percent) had urodynamic abnormalities, including a hyperactive bladder, bladder sphincter dyssynergia and a hypoactive bladder. Results: The cause of the voiding disorder was neurological in 61.5 percent of the cases, and the 2 most frequent disorders were cerebral toxoplasmosis and HIV encephalitis. Treatment was usually given to relieve symptoms with drugs acting on the detrusor-sphincter complex. A total of 22 patients (57 percent) had lasting improvement, while 17 (43 percent) died 2 to 24 months (mean 8) after onset of the voiding symptoms. Conclusions: A micturition problem is an unfavorable event since it usually indicates a neurological cause. References 1 : Bacterial prostatitis in patients infected with the human immunodeficiency virus. J. Urol.1989; 141: 334. Link, Google Scholar 2 : Neurological complications and concomitants of AIDS. Acta Neurol. Scand.1986; 74: 467. Google Scholar 3 : Neurological manifestations of the acquired immunodeficiency syndrome (AIDS): experience at UCSF and review of the literature. J. Neurosurg.1985; 62: 475. Google Scholar 4 : HIV and the nervous system. Brit. J. Hosp. Med.1988; 20: 21. Google Scholar 5 : Neurological complications of acquired immune deficiency syndrome: analysis of 50 patients. Ann. Neurol.1983; 14: 403. Google Scholar 6 : The urological manifestations of the acquired immunodeficiency syndrome. J. Urol.1989; 142: 771. Link, Google Scholar 7 : Neurogenic bladder in acquired immune deficiency syndrome (AIDS). Urology1992; 40: 289. Google Scholar 8 Catanese, A. J., Tessler, A. N. and Morales, P.: AIDS and the urologist. Part I: Urologic manifestations of AIDS. AUA Update Series, volume VIII, lesson 1, 1989. Google Scholar 9 : Neurologic complications in acquired immunodeficiency syndrome (AIDS). Neurol. Clin.1984; 2: 315. Google Scholar 10 : Neuropathic finding in 104 cases of acquired immunodeficiency syndrome. Ann. Int. Med.1987; 106: 19. Google Scholar Department of Urology, Bichat Hospital, Paris, France.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBreyer B, Van Den Eeden S, Horberg M, Eisenberg M, Deng D, Smith J and Shindel A (2018) HIV Status is An Independent Risk Factor for Reporting Lower Urinary Tract SymptomsJournal of Urology, VOL. 185, NO. 5, (1710-1715), Online publication date: 1-May-2011.Sutcliffe S, Rohrmann S, Giovannucci E, Nelson K, De Marzo A, Isaacs W, Nelson W and Platz E (2018) Viral Infections and Lower Urinary Tract Symptoms in the Third National Health and Nutrition Examination SurveyJournal of Urology, VOL. 178, NO. 5, (2181-2185), Online publication date: 1-Nov-2007. Volume 156Issue 1July 1996Page: 157-159 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information J.F. Hermieu More articles by this author V. Delmas More articles by this author L. Boccon-Gibod More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W1998585083 title "Micturition Disturbances and Human Immunodeficiency Virus Infection" @default.
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