• J Emerg Med · May 1992

    Case Reports

    Functional urinary outlet obstruction causing urosepsis in a male multiple sclerosis patient.

    • D A Franz, M A Towler, R F Edlich, and W D Steers.
    • Department of Plastic Surgery, University of Virginia School of Medicine, Charlottesville.
    • J Emerg Med. 1992 May 1;10(3):281-4.

    AbstractDetrusor-external sphincter dyssynergia (DESD) is a neuropathic disorder of micturition that exists when the simultaneous contractions of the detrusor muscle and external urethral sphincter oppose each other. When the external urethral sphincter contracts during a detrusor contraction, functional urinary outflow obstruction occurs by the increased urethral resistance. This loss of coordination between the bladder and its outlet is associated with a high risk for serious urologic complications, such as vesicoureteral reflux, hydronephrosis, and urosepsis. This report describes a male multiple sclerosis patient with DESD who developed functional outlet obstruction with urosepsis and discusses the diagnosis and treatment of this potentially life-threatening voiding dysfunction.

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