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

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