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Related Experiment Videos

Vesical dysfunction due to prolapsed disc.

J C Ross, R M Jameson

    British Medical Journal
    |September 25, 1971
    PubMed
    Summary
    This summary is machine-generated.

    A prolapsed intervertebral disc can cause neural disturbances in micturition, leading to bladder dysfunction like incontinence and retention. Prompt investigation and surgical removal of the disc can improve, though sometimes slowly, bladder function.

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    Area of Science:

    • Neurology
    • Urology
    • Neurosurgery

    Background:

    • Neural disturbances of micturition, including incontinence and retention, can arise from spinal conditions.
    • Prolapsed intervertebral discs (PIDs) are a potential cause of such neurological bladder dysfunction.
    • Vesical dysfunction may occur without classic back and leg pain, complicating diagnosis.

    Purpose of the Study:

    • To highlight the association between prolapsed intervertebral discs and neural disturbances of micturition.
    • To emphasize the importance of investigating disc lesions in women with unexplained urinary incontinence and retention.
    • To discuss the potential for bladder function recovery after surgical intervention for PIDs.

    Main Methods:

    • Review of clinical presentations linking spinal disc pathology to bladder dysfunction.

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  • Emphasis on diagnostic considerations, particularly excluding gynecological causes.
  • Discussion of outcomes following surgical management of prolapsed intervertebral discs.

    • Main Results:

    • Massive central disc protrusions or multiple lesions are more likely to cause significant bladder dysfunction than single nerve root lesions.
    • Higher spinal lesions correlate with a greater likelihood of severe bladder dysfunction.
    • Bladder function improvement is expected after disc removal, but recovery can be variable and sometimes incomplete.

    Conclusions:

    • Prolapsed intervertebral discs should be considered in the differential diagnosis of urinary incontinence and retention in women, especially when other causes are excluded.
    • Early diagnosis and surgical intervention for PIDs can lead to improvement in bladder function.
    • While surgical outcomes are generally positive, persistent bladder dysfunction is a rare possibility post-operatively.