Welkom bij het Lymeforum

Micturition disorders in Lyme disease can occur by several mechanisms. First, Lyme cystitis can occur because the spirochete directly invades the urinary bladder [9]. The second mechanism is related to neuroborreliosis, such as meningoencephalopathy, transverse myelitis, myeloradiculitis, and demyelinating lesions of the spinal cord. Micturition disorders can appear in diverse forms such as detrusor hyperreflexia, detrusor-sphincter dyssynergia, and detrusor areflexia [8]. A study reported that 11 of 44 Lyme encephalomyelitis patients showed urinary bladder dysfunction [10] and another study reported that 5 out of 7 Lyme encephalomyelitis patients showed detrusor hyperreflexia and the remaining 2 patients showed detrusor areflexia [9]. The present patient showed detrusor areflexia in a urodynamic study.

The neurological symptoms caused by Lyme disease are mostly relieved when patients are treated with antibiotics within an appropriate time period. However, in this case, his voiding dysfunction was not relieved while other neurological symptoms were relieved by a 4-week antibiotic treatment. Judging based on bulbocarvernosus reflex tests and suspected demyelinating lesions in S2-S4 regions, it was assumed that his neurogenic bladder was caused by neuroborreliosis although the patient's urinary bladder tissues were not examined.

Geïrriteerde blaas, niet kunnen ophouden van urine of juist moeilijk kunnen plassen

Symptoms of Interstitial Cystitis

Urinary frequency & urgency
Bladder pain with full bladder
Pain in perineum & urethra
Chronic pelvic pain
Vulvar/vaginal pain (female)
Pain in testicles (male)
Painful sex

Burgdorferi, the causative agent of Lyme disease.
After mice were infected by intraperitoneal or subcutaneous inoculation or by tick bite, attempts were made to culture spirochetes
from the urinary bladder, spleen, kidney, blood, and urine.
Spirochetes were most frequently isolated from the bladder (94%), followed by the kidney (75%), spleen (61%), and blood (13%).

Intravenous ceftriaxone for three weeks resulted in immediate improvement of bladder dysfunction, with continuous decline of residual urine volume and continuous increase of spontaneous urine volume even after removal of the catheter and initiation of self-catheterization. Sacral radiculitis due to infection with Borrelia burgdorferi is a potential cause of detrusor areflexia and urethral, perineal, inguinal, and scrotal pain and may be misinterpreted as cystitis or urethritis. Ceftriaxone may result in progressive recovery of bladder dysfunction and pain.

Henriëtte schreef:Stichting Tekenbeetziekten;

Geïrriteerde blaas, niet kunnen ophouden van urine of juist moeilijk kunnen plassen

https://www.tekenbeetziekten.nl/symptom ... -van-lyme/

Henriëtte