Urinary incontinence

Home/PATIENT QUESTIONS/BACK PAIN/Urinary incontinence
Viewing 2 posts - 1 through 2 (of 2 total)
  • Author
    Posts
  • detoured
    Participant
    Post count: 7

    So I’ve had urinary problems since a couple months after herniating my L4-L5 disc. I had urgency and frequency and sometimes pain. I ended up with foot and big toe weakness too. I had microdisctomy on May 8 and for 2 weeks my urinary symptoms were gone until I reherniated my disc which was confirmed on a MRI May 28.
    Since then things have gotten worse where I leak urine when I sit or stand up sometimes and have more than usual dribbling after going.
    I’ve also started to have some rectal pain and pressure feeling.
    Yesterday I went to ER for this and had another MRI done but they said this stuff isn’t from my spine. Below is the MRI report. Isn’t it likely this is from my spine even though the MRI is definitive?

    MR LUMBAR SPINE WO W CONTRAST

    CLINICAL INFORMATION: incontinence;

    COMPARISON: None.

    FINDINGS:

    L1-L2: Normal disc signal and height. No significant spinal canal, lateral recess or neural foraminal narrowing. Mild facet arthritis.

    L2-L3: Normal disc signal and height. No significant spinal canal, lateral recess or neural foraminal narrowing. Mild facet arthritis.

    L3-L4: Normal disc signal and height. No significant spinal canal, lateral recess or neural foraminal narrowing. Mild facet arthritis.

    L4-L5: Degenerative disc signal. Mild disc height loss. Diffuse broad-based disc bulge which along with facet and ligamentous hypertrophy accounts for moderate right lateral recess narrowing with abutment or mild impingement of the traversing right L5 nerve root. No significant neural foraminal narrowing. Moderate facet arthritis. Bone marrow edema involving the articular process at L4 on the left (series 7, image 11) were there is suggestion of the fracture line (series 6, image 11). Status post of her changes hemilaminectomy at L4 on the left.

    L5-S1: Bilateral L5 pars defects with grade 1 anterolisthesis of L5 on S1. Bone marrow edema about the left L5 pars defects suggest acuity. No significant spinal canal or lateral recess narrowing. Moderate bilateral neural foraminal narrowing with abutment or mild impingement of the exiting bilateral L5 nerve roots. Mild – moderate facet arthritis.

    OTHER: None.

    IMPRESSION: Lateral recess narrowing at L4-L5 on the right accounts for traversing right L5 nerve root impingement. Bilateral L5 pars defects with grade 1 anterolisthesis of L5 on S1. Neural foraminal narrowing at L5-S1 bilaterally accounts for abutment or mild impingement of the exiting bilateral L5 nerve roots.

    Dr. Corenman
    Moderator
    Post count: 6274

    It is quite difficult to injure the nerves in the lower spinal canal to cause bowel and bladder injury. These nerve (called nervi eregantes) are from the S2-4 segments and sit in the middle of the canal in the lumbar spine. You would need a fracture or massive disc herniation to cause injury to these nerves.

    Commonly, pain can cause temporary loss of bladder sphincter tone. This is especially common in women who have delivered a child as pregnancy stretches the sling of muscles that hold the bladder up. Also, the urethra (the connection between the bladder and the outside) is much shorter in women and tends to “leak” more frequently.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
    If this forum has helped you, please let Dr. Corenman know!

Viewing 2 posts - 1 through 2 (of 2 total)

You must be logged in to reply to this topic.

search-icon   CLICK HERE FOR QUICK NAVIGATION
¤