Tue, Sep 16, 2025
Volume 11 - Continuous Publishing
Iran J Neurosurg 2025, 11 - Continuous Publishing: 0-0 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
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
URL: http://irjns.org/article-1-478-en.html
1- Jahrom University of Medical Sciences, Jahrom, Iran. , hosseinhakimelahi@yahoo.com
2- Department of Anesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Neurosurgery, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran.
2- Department of Anesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Neurosurgery, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran.
Abstract: (19 Views)
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.
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.
Article number: 10
Type of Study: Review |
Subject:
Neurotrauma
Send email to the article author
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
