Neurogenic bladder dysfunction due to Behçet’s disease

Background: Behcet's disease is a chronic multisystem condition of unknown origin. Genitouri- nary tract involvement with genital apthous ulcers, epididymitis, urethritis and recurrent cystitis is encountered commonly. Neurogenic bladder dysfunction due to neural involvement of the syn- drome, has been reported extremely rarely. Methods: A case of neurogenic bladder dysfunction due to Behcet's disease is presented. The patient was 17-year-old young male with a long history of the disease and neurological affection, but with neglected lower urinary tract symptoms and urinary incontinence. The patient was diag- nosed urodynamically to have hyperreflexic detrusor. Results/Discussion: After failure of medical treatment (oxybutynin chloride) the patient submitted to augmentation clam-type sigmoidocystoplasty. Four years postoperatively, the patient is dry, on clean intermittent self catheterization twice daily and he is practically asymptomatic from lower urinary tract symptoms.