A case of urinary retention from infranuclear neurogenic bladder secondary to perineal herpes zoster infection is described. We discuss the different urological compromise (neurologic and vesico-prostatic) following herpes zoster infection and the importance of correct diagnosis and patient follow-up. We do not recommend instituting drug therapy. Intermittent use of a catheter is advocated as the only treatment modality for this condition, which is reversible in most of the cases.
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