Neuropathic urinary retention in the absence of neurological signs.
We present two cases of painless urinary retention secondary to central intervertebral disc prolapse. In neither case were there signs or symptoms suggesting an underlying neurological insult. Both patients voided spontaneously following neurosurgical intervention. The classical features of acute cauda equina compression may be absent in patients with central lumbar disc protrusion. Painless urinary retention may be the only physical sign.
Sylvester
P A
PA
Department of Urology, Bristol Royal Infirmary, UK.
McLoughlin
J
J
Sibley
G N
GN
Dorman
P J
PJ
Kabala
J
J
Ormerod
I E
IE
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000175:diagnosis; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000209:etiology; D016055:Urinary Retention / Q000209:etiology*