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Association between severity of schizophrenic symptoms and urinary retention

Published online by Cambridge University Press:  16 April 2020

R. Shiloh ,
A. Weizman ,
P. Dorfman-Etrog ,
N. Weizer  and
H. Munitz
R. Shiloh*
Affiliation:
Geha Psychiatric Hospital, Felsenstein Medical Research Center, Rabin Medical Center, Beilinson Campus, Petah Tiqva; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
A. Weizman
Affiliation:
Geha Psychiatric Hospital, Felsenstein Medical Research Center, Rabin Medical Center, Beilinson Campus, Petah Tiqva; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
P. Dorfman-Etrog
Affiliation:
Geha Psychiatric Hospital, Felsenstein Medical Research Center, Rabin Medical Center, Beilinson Campus, Petah Tiqva; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
N. Weizer
Affiliation:
Geha Psychiatric Hospital, Felsenstein Medical Research Center, Rabin Medical Center, Beilinson Campus, Petah Tiqva; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
H. Munitz
Affiliation:
Geha Psychiatric Hospital, Felsenstein Medical Research Center, Rabin Medical Center, Beilinson Campus, Petah Tiqva; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
*
*Correspondence and reprints: Geha Psychiatric Hospital, Ward A, PO Box 102, Petah Tiqva 49100, Israel. E-mail address:shiloh_r@netvision.net.il (R. Shiloh).
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Summary

A case is presented in which severe urinary retention (UR) occurred during an acute psychotic exacerbation of paranoid schizophrenia. The voiding dysfunction was apparent during continuous treatment with unchanged doses of haloperidol, and it completely resolved with the remission of the psychotic symptoms. A clear temporal correlation was evident between the patient’s mental status, the Brief Psychiatric Rating Scale (BPRS) score and the degree of the UR as assessed by quantitatively measuring the total daily postvoiding urine residues. We could not relate the UR to any apparent general medical condition or to the haloperidol treatment. The presented data suggests that UR in schizophrenic patients might be the end-result of various psychosis-related mechanisms.

Keywords

haloperidolpsychosisschizophreniaurinary retention
Type
Case Reports
Information
European Psychiatry , Volume 16 , Issue 8 , December 2001 , pp. 497 - 500
Copyright
Copyright © 2001 Éditions scientifiques et médicales Elsevier SAS

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