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Bladder function in patients with lumbar intervertebral disk protrusion

Z Bartolin1, I Gilja, G Bedalov

  • 1Department of Urology, Clinical Hospital Dubrava, Zagreb, Croatia.

The Journal of Urology
|February 25, 1998
PubMed
Summary
This summary is machine-generated.

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Lumbar disk protrusion can cause bladder dysfunction, specifically detrusor areflexia (bladder muscle inactivity), in about a quarter of patients. This condition often leads to difficult voiding with straining.

Area of Science:

  • Neurology
  • Urology
  • Spinal Cord Medicine

Background:

  • Lumbar intervertebral disk protrusion is a common condition.
  • Bladder dysfunction can be a consequence of neurological impairment.

Purpose of the Study:

  • To investigate the impact of lumbar intervertebral disk protrusion on bladder function.
  • To analyze cystometry findings in relation to spinal level and urological symptoms.

Main Methods:

  • Prospective study of 114 patients (77 men, 37 women) aged 25-63 with lumbar disk protrusion.
  • Urodynamic evaluation including uroflowmetry and pressure measurements during filling and voiding.

Main Results:

  • Detrusor areflexia observed in 27.2% (31/114) of patients.

Related Experiment Videos

  • No significant correlation found between the spinal level of disk protrusion (L3, L4, L5) and detrusor activity.
  • All patients with detrusor areflexia reported voiding difficulties, characterized by straining.

    • Conclusions:

    • Lumbar disk protrusion can lead to detrusor areflexia in approximately 25% of cases.
    • The spinal level of the protrusion did not influence the occurrence of detrusor areflexia.
    • Voiding dysfunction, presenting as straining, is a consistent symptom in patients with detrusor areflexia due to lumbar disk protrusion.