Léger J M, Bletry O, Karabinis A, Brunet P, Godeau P, Cukier J
J Urol (Paris). 1982;88(5):281-3.
The authors report three cases of complete urinary retention of sudden onset during a herpes genitalis infection secondary to traumatic sexual relations. In practice, the diagnosis was made in the absence of any urological cause, the presence of local signs indicative of herpetic infection of the genital organs and lumbar puncture. Mictional disturbances disappeared in 2 to 3 weeks without leaving any sequelae. The possibility of nervous system complications in genital herpes infections has been know since 1904. By contrast, disturbances in micturition have been reported much more recently, in 1953. Complete urinary retention of sudden onset is not rare: 17 cases out of a series of 486 cases of genital infection. This may be the only clinical sign of nervous system involvement. Urinary retention develops between a few days and 3 weeks after the onset of genital herpes. Neurological examination of the lower limbs is normal. There may be transient impotence in the male and loss of the bulbo-cavernosus reflexes and impaired sensation in an S2-S3 distribution. Bladder tone is spontaneously hypoactive and increases following the injection of Urecholine. The herpes virus (HSV) is found only during the acute phase of the genital infection but almost never a few days later, when urinary retention develops.
作者报告了3例因创伤性性关系继发生殖器疱疹感染期间突然发生的完全性尿潴留病例。实际上，在没有任何泌尿系统病因、存在提示生殖器疱疹感染的局部体征以及进行腰椎穿刺的情况下做出了诊断。排尿障碍在2至3周内消失，未留下任何后遗症。自1904年以来，人们就知道生殖器疱疹感染可能会出现神经系统并发症。相比之下，排尿障碍的报道则要晚得多，是在1953年。突然发生的完全性尿潴留并不罕见：在486例生殖器感染病例中有17例。这可能是神经系统受累的唯一临床症状。尿潴留发生在生殖器疱疹发病后的几天至3周内。下肢神经检查正常。男性可能会出现短暂性阳痿，球海绵体反射消失，S2 - S3分布区域感觉减退。膀胱张力自发降低，注射乌拉胆碱后张力增加。仅在生殖器感染的急性期发现疱疹病毒（HSV），但在尿潴留发生的几天后几乎从未发现。
