Bladder dysfunction in chikungunya : experience of the academic hospital of Fort de France in Martinique (France).
Ms Sarah REMISSEa, Dr Odile TROIGROSa, Dr Pascale OLIVEa, Dr José-Luis BARNAYa, Dr Benoît ROZÉa, Dr Sandrine PIERRE-FRANÇOISa, Prof André CABIÉa, Dr Emilie JAVELLEa, Dr Patrick RENÉ-CORAILa
a CHU de Fort-de-France
Objective: Chikungunya is an arbovirus transmitted by Aedes mosquitoes. Significant epidemics have been reported in Reunion in 2005-2006 and the French West Indies whose Martinique in 2013-2014. Mainly, Chikungunya is characterized by polyarthralgia and fever. Patients also related overactive or hypoactive bladder. Those bladder dysfunctions have been described in literature just one time by an Indian team  in 2006-2007.
The purpose of this study is to identify and describe these disorders.
Methods: Patients were enrolled using a screening urinary disorders questionnaire through Chikungunya consultation in academic hospital of Fort-de France from January 2015.
Results: Recruitment of 51 patients: urinary urgency (58%), nocturia (66%), stress urinary incontinence (45%), daytime urinary frequency (15%), enuresis (7%), dysuria (27%). Urodynamic studies show overactive detrusor (57%) with and without detrusor-external sphincter dyssynergia (42%), or intrinsic sphincter deficiency (42%). Dysuria (42%) at flow determination.
Discussion: Bladder dysfunctions in acute Chikungunya are frequent, and may become chronical. Hypothesis concerning aetiology are myelopathy or neuropathy. Evolution of symptoms is uncertain. A study evaluating the follow up of those patients is still going on.
Reference: 1. Baishya, R., Jain, V., Ganpule, A., Muthu, V., Sabnis, R. B., & Desai, M. R. (2010). Urological manifestations of Chikungunya fever: A single centre experience. Urol Ann. 2010;2:110-3
Keywords : Chikungunya, bladder dysfunction,overactive detrusor