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Related Experiment Videos

Recurrent urinary incontinence treated neurosurgically

S Walter, T Hald, J Nordling

    Acta Obstetricia Et Gynecologica Scandinavica
    |January 1, 1980
    PubMed
    Summary

    This case report details successful neurosurgical treatment for recurrent urinary incontinence caused by cervical spinal cord compression. Surgical intervention led to complete symptom relief and normalized bladder function.

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    Area of Science:

    • Neurosurgery
    • Urology
    • Neurology

    Background:

    • Neurogenic bladder dysfunction, characterized by detrusor hyperreflexia, presents management challenges and often lacks a cure.
    • Recurrent urinary incontinence in women can stem from various causes, including neurological conditions.
    • Previous treatments like vaginal repair may not address underlying neurological deficits.

    Observation:

    • A 56-year-old woman experienced persistent urinary incontinence despite multiple prior surgical interventions.
    • Cystometry indicated detrusor hyperreflexia, suggestive of supranuclear bladder paresis.
    • Myelography revealed significant cervical spinal cord compression.

    Findings:

    • Neurosurgical treatment involving cervical spine spondylodesis was performed.

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  • The patient experienced complete resolution of urinary incontinence post-surgery.
  • Postoperative cystometry at 18 months showed normal function, with sustained symptom freedom at three years.

    • Implications:

    • Cervical spinal cord compression should be considered in cases of refractory neurogenic bladder.
    • Surgical decompression and stabilization of the cervical spine can effectively treat neurogenic incontinence.
    • This case highlights the potential for neurosurgical intervention in managing complex bladder dysfunction.