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Neurogenic bladder and disc disease: a brief review
G Siracusa1, A Sparacino, V L Lentini
1Università degli studi di Palermo, Palermo, Italy. giuseppe.siracusa@hotmail.com
Current Medical Research and Opinion
|May 25, 2013
Summary
Disc disease is linked to neurogenic bladder, with many patients experiencing abnormal bladder function. Further research is needed on conservative treatments and surgical outcomes for voiding dysfunction.
Area of Science:
- Urology
- Neurology
- Neurosurgery
Background:
- Neurogenic bladder involves bladder-sphincter dysfunction due to neurological issues.
- Disc disease, particularly lumbar disc herniation, can cause neurogenic bladder, even without back pain.
Purpose of the Study:
- To review the association between neurogenic bladder and disc disease.
- To analyze neuroanatomy, pathophysiology, clinical, and urodynamic findings.
- To discuss treatment options focusing on etiological approaches.
Main Methods:
- Literature search on PubMed, Medline, and Google Scholar (1970-2012).
- Keywords included 'neurogenic bladder,' 'disc herniation,' 'urodynamic,' and 'treatment.'
- Review and summarization of 42 relevant articles.
Main Results:
- Confirmed correlation between disc disease and neurogenic bladder.
- 40% of lumbar disc disease patients show abnormal urodynamics; many report voiding symptoms.
- Common findings include detrusor areflexia, underactive/overactive detrusor, and perineal muscle innervation abnormalities.
Conclusions:
- Further research on conservative therapies for neurogenic bladder in disc disease is warranted.
- Evaluate spine surgery effectiveness for voiding dysfunction using modern techniques.
- Results after laminectomy for voiding function remain controversial.
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