[Detrusor-sphincter dyssynergia: four case reports and literature review].
Detrusor-sphincter dyssynergia is responsible for major impairment and is factor for social and professional activity repercussions.


METHODS
We have studied the clinical and urodynamic finding in four patients (two men and two women) with detrusor-sphincter dyssynergia. Mean age is 36 years (26-44 years). Dyssynergia was secondary to tuberculosis meningitis in one case, surgery for rectal adenocarcinoma in one case, tight vertebral canal in one case and in one case the cause is indeterminate. The detrusor-sphincter dyssynergia were treated by autocatheterism in two cases, antibiotherapy antituberculosis associated with an anticholinergic drugs in one case and by alpha-blockers agent in another.


RESULTS
Quasi-complete salvage of the motor deficit and the dysfonctional voiding in a patient treated by antibiotherapy antituberculosis associated with an anticholinergic drugs. As well, maid evolution in patient treated by alpha-blockers agent and who practice self catheterization.


CONCLUSIONS
Optimal treatment is unknown, and the existence of several cures indicated the limit of all therapeutic methods.
Zannoud
M
M
Service d'urologie, hôpital militaire d'instruction Mohamed V, CHU Rabat, Maroc.
Ghadouane
M
M
Alami
M
M
Jira
H
H
Kasmaoui
E H
EH
Abbar
M
M
D000230:Adenocarcinoma / Q000601:surgery; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D001259:Ataxia / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery; D014390:Tuberculosis, Meningeal / Q000150:complications; D001745:Urinary Bladder Diseases / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000209:etiology*; D014563:Urodynamics
D000317:Adrenergic alpha-Antagonists; D000904:Antibiotics, Antitubercular