Benchekroun Abdellatif, Jira Hassan, Kasmaoui el Hassane, Nouini Yassine, Iken Ali, Faik Mohamed
Service d'Urologie A, Hôpital Avicenne, Rabat, Maroc.
Prog Urol. 2002 Jun;12(3):490-2.
Voiding disorders secondary to neurosyphilis have now become rare. The authors report a case of a patient with arthritis of the knee associated with dysuria and chronic urinary retention. Urethrocystography showed a large bladder with post-voiding residual urine. Urodynamic assessment revealed detrusor areflexia. The aetiological diagnosis was neurosyphilis. Serological tests for sexually transmitted diseases must be systematically performed in patients presenting with idiopathic voiding disorders.
继发于神经梅毒的排尿障碍现已变得罕见。作者报告了一例患有膝关节炎并伴有排尿困难和慢性尿潴留的患者。尿道膀胱造影显示膀胱巨大,有排尿后残余尿。尿动力学评估显示逼尿肌无反射。病因诊断为神经梅毒。对于出现特发性排尿障碍的患者,必须系统地进行性传播疾病的血清学检测。