PMID- 8078228
OWN - NLM
STAT- MEDLINE
DCOM- 19941004
LR  - 20190817
IS  - 0021-5287 (Print)
IS  - 0021-5287 (Linking)
VI  - 85
IP  - 7
DP  - 1994 Jul
TI  - [Studies on neurogenic bladder due to human T-lymphotropic virus type-I 
      associated myelopathy (HAM)].
PG  - 1106-15
AB  - Fifty cases of untreated human T-cell lymphotropic virus type I (HTLV-I) 
      associated myelopathy (HAM) were evaluated by urodynamic studies to clarify the 
      nature of urinary disturbance and to find out suitable urological treatment. Both 
      irritative and obstructive symptoms coexisted in the HAM patients. 38% of the 
      patients experienced only urinary symptoms throughout the affected period. A main 
      cause of frequency was detrusor hyperreflexia at filling phase, which was found 
      in 58% of the patients. However, decreased effective bladder capacity due to 
      large amount of residual urine was possibly an another cause of frequency. 
      Detrusor sphincter dyssynergia was the main cause of difficulty of urination, but 
      in some cases underactive detrusor at voiding phase was also the cause of 
      difficulty of urination. Hydronephrosis was observed in only 5 kidneys, although 
      as many as 30 out of 46 cases (65.2%) showed bladder deformity. 17 cases (34%) 
      had urinary tract infection at first visit. As the activity of daily living was 
      deteriorated, the mean volume of residual urine, incidence of detrusor 
      hyperreflexia and detrusor sphincter dyssynergia were all increased. Medical 
      treatment was effective to relieve subjective symptoms, but urodynamic 
      examination did not necessarily review improvement. Intermittent catheterization 
      was needed and successful in 64% of all cases. Patients with HAM must be 
      carefully followed up by urologists.
FAU - Imamura, A
AU  - Imamura A
AD  - Department of Urology, Faculty of Medicine, Kagoshima University, Japan.
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Nihon Hinyokika Gakkai Zasshi
JT  - Nihon Hinyokika Gakkai zasshi. The japanese journal of urology
JID - 2984841R
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Manometry
MH  - Middle Aged
MH  - Paraparesis, Tropical Spastic/*complications
MH  - Urinary Bladder/physiopathology
MH  - Urinary Bladder, Neurogenic/*etiology/physiopathology
MH  - Urodynamics
EDAT- 1994/07/01 00:00
MHDA- 1994/07/01 00:01
CRDT- 1994/07/01 00:00
PHST- 1994/07/01 00:00 [pubmed]
PHST- 1994/07/01 00:01 [medline]
PHST- 1994/07/01 00:00 [entrez]
AID - 10.5980/jpnjurol1989.85.1106 [doi]
PST - ppublish
SO  - Nihon Hinyokika Gakkai Zasshi. 1994 Jul;85(7):1106-15. doi: 
      10.5980/jpnjurol1989.85.1106.