Herpes Zoster With Neurogenic Bladder Dysfunction

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Abstract
Eight patients who had herpes zoster associated with neurogenic bladder dysfunction were studied. The herpes zoster eruption appeared in the sacral dermatomes (S2-S4) in five patients, in the ilioinguinal dermatomes (L1-L2) in two patients and in the thoracic dermatome (T12) in one patient. Acute urinary retention and polyuria were present in six patients. Other visceral symptoms included dysuria, hematuria, constipation, and impotence. Laboratory results were less discriminating, although three patients had combinations of hematuria, pyuria, and bacillurla, and two of the four patients studied had flaccid neurogenic bladders, as determined by cystometrograms and residual urine measurements. There was complete recovery of bladder and bowel function within two to four weeks. This recovery paralleled the resolution of the zoster eruption.

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