Korean J Dermatol.  2020 May;58(4):239-244.

Sacral Herpes Zoster Associated with Voiding Dysfunction

• Lee DW
• Suh MK
• Lee K

Abstract

Background
Many studies focus on herpes zoster in Korean dermatologic literature. However, there are few studies on sacral herpes zoster associated with voiding dysfunction have been reported.
Objective
This study aimed to investigate the clinical features of sacral herpes zoster associated with voiding dysfunction.
Methods
During a 21-year-period from 1997 to 2018, 18 patients with sacral herpes zoster associated with voiding dysfunction were evaluated in terms of the type of urinary symptoms, duration based on the onset of urinary symptoms, requirement of an indwelling Foley catheter, medication, and time required for normal voiding. A statistical analysis was performed to determine whether there was a difference between the two groups in the time required for normal voiding. The first comparison groups included a group with a catheter and a group without a catheter, and the second comparison groups included a group with medication and a group without medication.
Results
The average time required for normal voiding in patients with an indwelling Foley catheter (51.4±42.8 days) was significantly longer than in patients without an indwelling Foley catheter (40.4±91.8 days) (p=0.027). The average time required for normal voiding in patients with medication (65.2±79.4 days) was significantly longer than in patients without medication (7.5±2.7 days) (p=0.001).
Conclusion
The possibility of voiding dysfunction should not be overlooked in patients with sacral herpes zoster. Moreover, the severity of voiding dysfunction is an important prognostic factor for the time required for the relief of voiding dysfunction. Therefore, we should pay attention when a patient develops urinary dysfunction.

Keyword

Sacral herpes zoster; Voiding dysfunction