PMID- 2053222 OWN - NLM STAT- MEDLINE DCOM- 19910725 LR - 20180217 IS - 0042-1138 (Print) IS - 0042-1138 (Linking) VI - 46 IP - 2 DP - 1991 TI - Clinical manifestation of human T-cell lymphotropic virus type-I-associated myelopathy and vesicopathy. PG - 149-53 AB - Patients with human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy (HAM) sometimes have accompanying voiding disturbances. We performed clinical surveys and urodynamic examinations on 25 untreated patients with HAM. Although 4 cases (16%) were entirely aware of urinary symptoms, the onset of urinary symptoms preceded other pyramidal symptoms in 6 cases (24%). All cases suffered from dysuria. The cause of dysuria was thought mainly to be detrusor external sphincter dyssynergia, but in some cases an underactive detrusor and poor opening of the bladder neck at voiding were also the causes of dysuria. There was a tendency for urinary dysfunction to become worse as the primary disease progresses. Patients with HAM must be carefully followed up by urologists in order to prevent deterioration of the urinary tract. FAU - Imamura, A AU - Imamura A AD - Department of Urology, Faculty of Medicine, Kagoshima University, Japan. FAU - Kitagawa, T AU - Kitagawa T FAU - Ohi, Y AU - Ohi Y FAU - Osame, M AU - Osame M LA - eng PT - Journal Article PL - Switzerland TA - Urol Int JT - Urologia internationalis JID - 0417373 SB - IM MH - Adult MH - Aged MH - Electromyography MH - Female MH - Humans MH - Male MH - Middle Aged MH - Paraparesis, Tropical Spastic/complications/*diagnosis MH - Urinary Bladder, Neurogenic/diagnostic imaging/*etiology/physiopathology MH - Urodynamics MH - Urography EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] AID - 10.1159/000282121 [doi] PST - ppublish SO - Urol Int. 1991;46(2):149-53. doi: 10.1159/000282121.