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Hakimellahi H, Kalani N, Kazeminezhad A. Neurourogenital Aspects of Lumbosacral Spinal Stenosis. Iran J Neurosurg 2025; 11 : 10
URL: http://irjns.org/article-1-478-en.html

Background and Aim: Lumbosacral spinal stenosis (LSS) is a disease in elderly cases and in its advanced forms gives rise to intractable leg pain and in many cases various degrees of bladder dysfunction. In LSS bladder dysfunction can occur following compression of lumbar nerve roots or cauda equine. Urological manifestations like lower urinary tract complaints (LUTC) and sexual dysfunction of LSS are rare and reviewed in this study. From neuro-urological aspect urodynamic study (UDS) is vital in LSS and asseses the function of lower urinary tract, provides informations about diagnosis and prognosis, and permits planing a rational therapeutic paln to prevent renal dysfunction.
Methods and Materials/Patients: Using the keywords lumbar stenosis, neurogenic bladder, surgical decompression, and UDS, all the corresponding surveys were held on Google Scholar, and PubMed Medline.
Results: Urological presentations of LSS are rare; however, many patients present with various degrees of bladder malfunction. UDS is crucial in detecting neurogenic bladder malfunction, preventing renal function aggravation, and evaluating the neuro-urological effects of LSS surgery.
Conclusion: LSS may present with genitourinary symptoms. In contrast to conservative therapy, surgical decompression yields an adequate improvement in the neurourological aspects of LSS, with no significant relationship between the operation for LSS and the resolution of the upper urinary tract lesions (UUTL). More conclusive studies with a long follow-up period and a large case population are required to explore the final treatment results.