Dysgeusia related to urinary obstruction from benign prostatic disease: A case control and qualitative study

R. K. Mal, M. A. Birchall

Research output: Contribution to journalArticle

Abstract

Anecdotal reports suggest that dysgeusia may be related to a variety of systemic factors, including bladder outflow obstruction. This is a hospital-based case-controlled study involving 111 patients who were admitted to urological wards for transurethral resection of the prostate for benign prostatic disease with age- and sex-matched control of 137 subjects. We used a semi-structured questionnaire by a trained interviewer at admission (preoperative), at the postoperative period and at follow-up between 4-6 months (median 5 months). Analysis used unpaired t-test and X2 test. The incidence of dysgeusia was 22% in the study group and 13% in the control group (P = N.S.). However, strikingly, the dysgeusia in the study group was relieved promptly by relief of urinary obstruction in 100% of cases and did not return within the follow-up period. The mechanism of the dysgeusia associated with dysuria in benign prostatic disease is unknown, but we suggest that the dysgeusia could be from the stress of dysuria or due to a release of an unknown chemical from the urinary tract or an overflow of neural impulse from pontine/cortical micturition centres to the taste centres. An association between dysgeusia and dysuria has not been described before.

Original languageEnglish (US)
Pages (from-to)176-179
Number of pages4
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume263
Issue number2
DOIs
StatePublished - Feb 2006
Externally publishedYes

Keywords

  • Benign prostatic disease
  • Dysgeusia
  • Urinary obstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

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