Improvement in Neurogenic Bowel and Bladder Dysfunction Following Posterior Decompression Surgery for Cauda Equina Syndrome: A Prospective Cohort Study

Ryo Kanematsu; Junya Hanakita; Toshiyuki Takahashi; Manabu Minami; Tomoo Inoue; Kazuhiro Miyasaka; Hiroya Shimauchi-Ohtaki; Manabu Ueno; Fumiaki Honda

doi:10.14245/ns.2142252.126

Improvement in Neurogenic Bowel and Bladder Dysfunction Following Posterior Decompression Surgery for Cauda Equina Syndrome: A Prospective Cohort Study

Recommendations

Search

Type: Academic journal

Author: Ryo Kanematsu (Spinal Disorders Center Fujieda Heisei Memorial Hospital) Junya Hanakita (Spinal Disorders Center Fujieda Heisei Memorial Hospital) Toshiyuki Takahashi (Spinal Disorders Center Fujieda Heisei Memorial Hospital) Manabu Minami (Spinal Disorders Center Fujieda Heisei Memorial Hospital)

Journal: The Korean Spinal Neurosurgery Society Neurospine Neurospine 제18권 제4호

Published: 2021.12

Pages: 847 - 853 (7page)

DOI: 10.14245/ns.2142252.126

Usage

Improvement in Neurogenic Bowel and Bladder Dysfunction Following Posterior Decompression Surgery for Cauda Equina Syndrome: A Prospective Cohort Study

Abstract· Keywords

Report Errors

Objective: The mechanisms of neurogenic bowel dysfunction (NBD) and neurogenic bladder (NB), which are major consequences of spinal cord injury and occasionally degenerative lumbar disease. The following in patients with cauda equina syndrome who underwent posterior decompression surgery was investigated: (1) the preoperative prevalence of NBD and NB, measured using the Constipation Scoring System (CSS) and International Prostate Symptoms Score (IPSS); (2) the degree and timing of postoperative improvement of NBD and NB. Methods: We administered the CSS and IPSS in 93 patients before surgery and at 1, 3, 6, and 12 months postoperatively. We prospectively examined patient characteristics, Japanese Orthopaedic Association (JOA) score, and postoperative improvements in each score. Results: The prevalence of symptomatic defecation and urinary symptoms at admission were 37 patients (38.1%) and 31 patients (33.3%), respectively. Among the symptomatic patients with defecation problems, 12 patients had improved at 1 month, 13 at 3 months, 14 at 6 months, and 13 at 12 months postoperatively. Among the symptomatic patients with urinary problems, 5 patients improved at 1 month, 11 at 3 months, 6 at 6 months, and 10 at 1 year postoperatively. Comparing patients with improved versus unimproved in CSS, the degree of JOA score improvement was a significant prognosis factor (p<0.05; odds ratio, 1.05). Conclusion: The prevalence of symptomatic defecation and urinary symptoms in patients with cauda equina syndrome was 38.1% and 33.3%, respectively. Decompression surgery improved symptoms in 30%?50%. These effects were first observed 1 month after the operation and persisted up to 1 year.

#Neurogenic bowel dysfunction #Neurogenic bladder #Cauda equina syndrome

No content found

References (14)

Add References

Hanson RW / 1976 / Sexual loss in relation to other functional losses for spinal cord injured males / Arch Phys Med Rehabil 57:291~293

Tsai CH / 2010 / The evaluation of bladder symptoms in patients with lumbar compression disorders who have undergone decompressive surgery / Spine 35:E849~E854

Kawaguchi Y / 2001 / Clinical symptoms and surgical outcome in lumbar spinal stenosis patients with neuropathic bladder / J Spinal Disord 14:404~410

Deen HG Jr / 1994 / Assessment of bladder function after lumbar decompressive laminectomy for spinal stenosis : a prospective study / J Neurosurg 80:971~974

Sharr MM / 1976 / Lumbar spondylosis and neuropathic bladder : investigation of 73 patients with chronic urinary symptoms / Br Med J 1:695~697

Recommendations

It is an article recommended by DBpia according to the article similarity. Check out the related articles!