Iranian Journal of Neurosurgery

en Neurourogenital Aspects of Lumbosacral Spinal Stenosis Neurotrauma Review Background and Importance: Lumbosacral spinal stenosis (LSS) is a disease in elderly cases and, in it's 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 of LSS, such as bladder dysfunction and lower urinary tract complaints (LUTC), including urinary incontinence, detrusor hyperactivity and hypoactivity, and recurrent urinary tract infections, are rare and reviewed in this narrative study.  Methods: This is a narrative study about the neuro-uro-genital aspects of LSS. To provide up-to-date information on this topic in neurosurgery, we precisely reviewed articles about neuro-urological manifestations of LSS. Using the keywords lumbar stenosis, neurogenic bladder, surgical decompression, and urodynamic study, all the corresponding surveys were held on Google Scholar, and PubMed Medline and precisely studied. Results: Urological presentations of LSS are rare; however, many patients present with various degrees of bladder malfunction. Urodynamic study (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). Therefore , more conclusive studies with a long follow-up period and a large case population are required to explore the final treatment results.     Lumbar stenosis, Neurogenic bladder, Surgical decompression, and Urodynamic study 0 0 http://irjns.org/browse.php?a_code=A-10-400-15&slc_lang=en&sid=1 Hossein Hakimellahi hosseinhakimelahi@yahoo.com 100319475328460012260 100319475328460012260 Yes Jahrom University of Medical Sciences, Jahrom, Iran. Navid Kalani navidkalani@ymail.com 100319475328460012261 100319475328460012261 No Department of Anesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran. Ali Kazeminezhad kazemimd@msn.com 100319475328460012262 100319475328460012262 No Department of Neurosurgery, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran.