title: Voiding dysfunction due to neurosyphilis.
abstract: 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.
authors.affiliation: Department of Radiology, Middlesex Hospital, London.
authors.forename: S J
authors.initials: SJ
authors.lastname: Garber
authors.forename: T J
authors.initials: TJ
authors.lastname: Christmas
authors.forename: D
authors.initials: D
authors.lastname: Rickards
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications*; D001743:Urinary Bladder / Q000601:surgery; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology* / Q000628:therapy; D014563:Urodynamics / Q000502:physiology