Garber S J, Christmas T J, Rickards D
Department of Radiology, Middlesex Hospital, London.
Br J Urol. 1990 Jul;66(1):19-21. doi: 10.1111/j.1464-410x.1990.tb14857.x.
Three patients with neurosyphilis presenting with urinary frequency, incontinence and voiding dysfunction were investigated. Unlike the previously reported finding of areflexia in tabes dorsalis, all 3 had hypocompliant detrusor hyper-reflexia with detrusor-sphincter dyssynergia and post-micturition residual urine. One patient also had bladder neck dyssynergia treated by bladder neck incision. The other 2 patients were initially managed by intermittent catheterisation but 1 ultimately underwent urinary diversion. The clinical relevance of these findings and the treatment of this condition are discussed.
对3例出现尿频、尿失禁及排尿功能障碍的神经梅毒患者进行了调查。与先前报道的脊髓痨无反射情况不同，这3例患者均存在逼尿肌顺应性降低伴反射亢进、逼尿肌-括约肌协同失调及排尿后残余尿。1例患者还接受了膀胱颈切开术治疗膀胱颈协同失调。另外2例患者最初采用间歇性导尿处理，但其中1例最终接受了尿流改道。文中讨论了这些发现的临床意义及该疾病的治疗方法。
