Erturk E, Sheinfeld J, Davis R S
Urology. 1987 Sep;30(3):284-6. doi: 10.1016/0090-4295(87)90259-7.
After years of decline to near disappearance, there recently has been an increasing incidence of syphilis in America. New cases of tertiary neurosyphilis are being reported which often have associated significant urologic sequelae. For the first time in the English literature, the uro-dynamic findings of a patient with tabes dorsalis are presented. Our findings indicate that treatment of urinary retention associated with tabes dorsalis is better managed by intermittent catheterization than by prostate surgery because of the impaired detrusor activity. A review of neurosyphilis and its urologic implications and urodynamic findings are presented. Prompt recognition of this entity should encourage a full urodynamic evaluation prior to a commitment to prostatic surgery.
在经历多年下降至近乎消失后，近来美国梅毒发病率呈上升趋势。有报告称三期神经梅毒新病例不断出现，这些病例常伴有严重的泌尿系统后遗症。本文首次在英文文献中展示了一名脊髓痨患者的尿动力学检查结果。我们的研究结果表明，由于逼尿肌功能受损，对于脊髓痨相关的尿潴留，采用间歇性导尿术比前列腺手术能更好地进行处理。本文还对神经梅毒及其泌尿系统影响和尿动力学检查结果进行了综述。及时识别这一病症应促使在决定进行前列腺手术前进行全面的尿动力学评估。
