Characterizing Urologic Dysfunction In Male Patients With Lumbar Disc Disease
INTRODUCTION: Lumbar-sacral herniated discs are one of the most common causes of neurogenic related urologic dysfunction. This is because the nerve roots supplying the bladder and reproductive organs originate at the end of the spinal cord, termed the cauda equina. Therefore, most urologic dysfunction is related to either voiding or sexual dysfunction. Reported rates of urologic symptoms in patients with lumbar disc disease are as high as 74%. Here, we hope to further describe the etiology (neurogenic vs non-neurogenic) of urologic dysfunction in patients with documented lumbar disc disease.
METHODS: A list of worker's compensation patients with documented lumbar disc disease who presented to one urologist (EA) for urologic evaluation between 2004-2014 was generated. Records were reviewed for completion and data was manually extracted. Male patients were the first subset to be extracted. Data points related to: demographics, presenting symptoms, past medical history, imaging studies, physical exam findings, urologic diagnostic tests, and diagnoses were obtained. Diagnoses such as: urinary incontinence (urge, stress, mixed), overactive bladder, neurogenic bladder, and benign prostatic hypertrophy, were considered voiding dysfunction. Erectile dysfunction and hypogonadism were considered diagnoses of sexual dysfunction.
RESULTS: Preliminary results show 113 male patients with a history of lumbar disc disease and urologic dysfunction. 55 were diagnosed with sexual dysfunction only, 11 were diagnosed with voiding dysfunction only; and 47 were diagnosed with both sexual and voiding dysfunctions. By elucidating the etiology of urologic dysfunction, we hope to add to the literature regarding urologic dysfunction and lumbar disc disease.