Urinary disorders in intervertebral disc prolapse

✍ Scribed by S. D. Sandri; F. Fanciullacci; P. Politi; A. Zanollo

• Book ID: 102539741
• Publisher: John Wiley and Sons
• Year: 1987
• Tongue: English
• Weight: 401 KB
• Volume: 6
• Category: Article
• ISSN: 0733-2467
• DOI: 10.1002/nau.1930060103

✦ Synopsis

Ncurogenic bladder caused by intervertebral disc prolapse (IDP) is a well-known condition, affecting up to 18% of patients with IDP. We present our results after studying 82 patients, 67 of whom were fully evaluated from a neurourological point of view. Neurological and urological symptoms persisted long after the neurosurgical operation had been performed. The most common finding was that of a normal-compliance areflexic bladder associated with normal or incomplete denervation of perineal floor muscles. This pattern may be explained either by incomplete damage of the motor visceral (preganglionic, parasympathetic) fibers or by a pure sensory lesion. This explanation is confirmed by the significantly reduced positivity of the betanechol test in these cases compared to the 100% positivity results obtained in cases of low-compliance areflexic bladder.