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Updated: Apr 26, 2026
05:25
Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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Lower urinary tract symptoms: thinking beyond the urinary tract
1Department of Urology and Continence, Mater Health Services, Brisbane, Queensland, Australia.
BMJ Case Reports
|July 19, 2014
Summary
A spinal cord tumor caused bladder dysfunction in a 54-year-old man. Early diagnosis and treatment of non-urological causes are crucial for managing voiding dysfunction.
Area of Science:
- Neurology
- Urology
- Oncology
Background:
- Lower urinary tract symptoms (LUTS) significantly impact quality of life.
- Overactive bladder (OAB) is a common condition often diagnosed after excluding other causes.
Observation:
- A 54-year-old male presented with 12 months of progressive LUTS.
- Initial urological workup including physical examination, urinalysis, serum biochemistry, renal ultrasound, and cystoscopy was unremarkable.
- Urodynamic assessment indicated an overactive bladder of unknown etiology.
Findings:
- MRI of the lumbosacral spine revealed a spinal cord tumor at the conus medullaris.
- Surgical resection of the tumor was performed.
- Histopathological analysis confirmed a myxopapillary ependymoma.
Implications:
- This case underscores the importance of considering intraspinal pathology in patients with refractory voiding dysfunction.
- A comprehensive diagnostic approach, including neurological assessment, is vital for identifying rare but treatable causes of LUTS.
- Early detection of spinal cord tumors can prevent irreversible neurological damage and improve treatment outcomes.
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