Herpes Zoster With Dysfunction of Bladder and Anus

Urological Manifestations of Herpes Zoster

“…Severe constipation frequently accompanies the bladder symptoms and the sacral segments are predomi nantly involved (50% in our report). The skin rash in most cases is unilateral and its severity seems unrelated to the development of autonomic dysfunction [6], We report 3 patients who suffered from urinary incon tinence. There are no previous reports of this situation.…”

Urinary Retention, Erectile Dysfunction and Meningitis due to Sacral Herpes Zoster: A Case Report and Review of the Literature

“…The rate of occurrence of urinary re- tention as a complication of herpes zoster is reported to be 3.5% [12] . Sacral herpes causes detrusor areflexia and, rarely, herpes at higher levels mimics a myelitic disorder of the long tracts [19] . Richmond [13] reported that cord level involvement in urinary retention due to herpes zoster was sacral in 78%, thoracolumbar in 11% and high thoracic in 11% of patients.…”

“…It was suggested that the inflammatory reaction involving the dorsal root ganglia may spread proximally and distally to the sacral segments of the spinal cord, interrupting the detrusor reflex [10,13,14,20] . Although herpes zoster affects both sexes equally [11] , men are reported to be affected more commonly by herpes zoster with bladder involvement [19][20][21][22][23] .…”

Varicella zoster virus infection

“…Zoster paresis-Manifestations of zoster paresis include arm or diaphragmatic weakness after cervical zoster 59 , leg weakness after lumbar or sacral zoster and urinary retention after sacral zoster 60 . MRI reveals involvement of both dorsal and ventral roots of spinal nerves 61 .…”