Background: Patients with lumbar spinal canal compression not only
experienced leg neuropathy but also lower urinary tract symptoms. There are few
reports concerning the prevalence of bladder symptoms and the effect of
decompression on urinary symptoms. Objective: The goal of the present study is to
determine the incidence of bladder symptoms and urodynamic findings in lumbar
spinal compressive disorders and report on outcomes in patients who have undergone
decompressive surgery. Patients and Methods: This prospective study included 35
consecutive patients with lumbosacral root syndrome with or without overt bladder
dysfunction. Patients were classified according to the preoperative urodynamic
results into; Group I: patients with pre-operative normal bladder function, Group II:
patients with pre-operative bladder dysfunction. Urodynamic study was conducted
pre-operatively and 3 months after lumbar decompression. Results: There was
significant difference between the two studied groups regarding the occurrence of
urological symptoms. In the present study, among those 18 patients in group II,
areflexic bladder was the most frequent urodynamic diagnosis encountered in 12
(66.6%) patients and 6 (33.4%) of patients were with detrusor overactivity. 6
patients with areflexic bladder showed improvement post operatively. Patients with
preoperative neuropathic detrusor overactivity became normal postoperatively.
Conclusion: Decompression surgery had a beneficial effect not only on urological
symptoms but also on urodynamic study of bladder function. |
