Sacral dysgenesis associated with occult spinal dysraphism causing neurogenic bladder dysfunction.
A case of a neurogenic bladder in a 20-year-old man is described. The patient had difficulty in voiding and incontinence, with a history of several urinary infections. Misdiagnoses included stricture and posterior urethral valves. Early treatment included urethral dilation, a transurethral resection and a left ureteral implantation. Throughout this time the neurological examinations were essentially normal. Final diagnosis was sacral dysgenesis with associated occult spinal dysraphism, after the discovery of a small pock mark over the sacrum and an abnormal pelvic x-ray. Urinary diversion was done.
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012447:Sacrum / Q000002:abnormalities*; D013116:Spinal Cord / Q000002:abnormalities*; D014525:Urethral Stricture / Q000175:diagnosis; D001748:Urinary Bladder Neck Obstruction / Q000175:diagnosis; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000209:etiology*