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M9650411.TXT
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1996-03-09
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Document 0411
DOCN M9650411
TI Voiding dysfunction in human immunodeficiency virus infections.
DT 9605
AU Kane CJ; Bolton DM; Connolly JA; Tanagho EA; Department of Urology,
University of California School of; Medicine, San Francisco 94143-0738,
USA.
SO J Urol. 1996 Feb;155(2):523-6. Unique Identifier : AIDSLINE MED/96134288
AB PURPOSE: We prospectively evaluated the current spectrum of urodynamic
pathology in patients infected with human immunodeficiency virus (HIV)
who presented with voiding dysfunction. MATERIALS AND METHODS: We
obtained a directed genitourinary and neurological history, and
performed a physical examination and urodynamic testing in 18 patients.
A 4-channel membrane urethral catheter was used to record intravesical
and intraurethral pressures simultaneously. RESULTS: Detrusor
hyperreflexia was present in 28% of our patients and detrusor-sphincter
dyssynergia in 28%. Detrusor areflexia, previously described as the most
frequent abnormality, was uncommon in our series (6% of patients).
CONCLUSIONS: This changing proportion of urodynamic diagnoses may
reflect a changing pattern of neurological manifestations of HIV
infection due to more aggressive management. Urodynamic evaluation
remains critical for precise diagnosis and treatment in patients with
HIV who present with urinary symptoms.
DE Adult Aged Human HIV Infections/*PHYSIOPATHOLOGY Male Middle Age
Prospective Studies Urination/*PHYSIOLOGY Urodynamics/*PHYSIOLOGY
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).