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Neurogenic bladder dysfunction in lumbar intervertebral disc prolapse.

K J O'Flynn1, R Murphy, D G Thomas

  • 1Spinal Injuries Unit, Lodge Moor Hospital, Sheffield.

British Journal of Urology
|January 1, 1992
PubMed
Summary
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Lumbar disc prolapse rarely causes bladder dysfunction, often resulting in an areflexic bladder. Early self-catheterization in affected females may prevent incontinence surgery.

Area of Science:

  • Neurology
  • Urology

Background:

  • Lumbar disc prolapse (LDP) can cause urinary dysfunction, a rare but significant complication.
  • The impact of LDP on bladder function, particularly detrusor activity, requires further investigation.

Purpose of the Study:

  • To analyze the clinical, pathological, and follow-up data of patients with lumbar disc prolapse and urinary dysfunction.
  • To determine the likelihood of detrusor recovery and the long-term bladder outcomes in this patient cohort.

Main Methods:

  • Retrospective review of 30 patients diagnosed with lumbar disc prolapse and associated urinary dysfunction.
  • Assessment of clinical presentation, pathological findings, and urodynamic outcomes, including detrusor function and bladder emptying.

Main Results:

Related Experiment Videos

  • Detrusor recovery was infrequent, with most patients presenting with an areflexic bladder post-LDP.
  • Female patients with an areflexic detrusor and straining to void were at high risk for developing genuine stress incontinence.
  • Early initiation of intermittent self-catheterization was associated with a reduced need for incontinence surgery.

Conclusions:

  • Lumbar disc prolapse-induced urinary dysfunction often leads to persistent areflexic bladders.
  • Female patients with LDP-related areflexic bladders are prone to genuine stress incontinence.
  • Intermittent self-catheterization is a viable management strategy to mitigate incontinence in these patients.