SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2013
Complaints of micturition, defecation and sexual function in cauda equina syndrome due to lumbar disk herniation: a systematic review.
Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 73 citations in OpenAlex.
- A qualitative study of experiencing cauda equina syndrome and its aftercare in the UK.Spinal cord · 2025Article
- Percutaneous Tibial Nerve Stimulation for Neurogenic Bladder Due to Severe Lumbosacral Disc Herniation.Journal of clinical medicine · 2025Article
- Chronic cauda equina syndrome decompression surgery recovery is very "bad"? Based on patient self-assessment.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Article
- Neurogenic Bladder in Dogs, Cats and Humans: A Comparative Review of Neurological Diseases.Animals : an open access journal from MDPI · 2022Review
- Role of Invasive Urodynamic Studies in Establishing Cauda Equina Syndrome and Postoperative Recovery.Global spine journal · 2022Article
- The Essence of Clinical Practice Guidelines for Lumbar Disc Herniation, 2021: 5. Prognosis.Spine surgery and related research · 2022Article
- Sexual and Bladder Dysfunction in Cauda Equina Syndrome: Correlation with Clinical and Urodynamic Studies.Asian spine journal · 2020Article
- Cauda Equina Syndrome Core Outcome Set (CESCOS): An international patient and healthcare professional consensus for research studies.PloS one · 2020Article
- Patient-Reported Bladder, Bowel, and Sexual Function After Cauda Equina Syndrome Secondary to a Herniated Lumbar Intervertebral Disc.Topics in spinal cord injury rehabilitation · 2020Observational
- Urgent operation improves weakness in cauda equina syndrome due to lumbar disc herniation.Turkish journal of physical medicine and rehabilitation · 2019Article
- Factors that influence neurological deficit and recovery in lumbar disc prolapse-a narrative review.International orthopaedics · 2019Review
- DistalSurgical neurology international · 2019Article
- Understanding cauda equina syndrome: protocol for a UK multicentre prospective observational cohort study.BMJ open · 2018Article
- Bladder Recovery Patterns in Patients with Complete Cauda Equina Syndrome: A Single-Center Study.Asian spine journal · 2018Article
- Outcomes Reported After Surgery for Cauda Equina Syndrome: A Systematic Literature Review.Spine · 2018Review
- [Delayed decompression for cauda equina syndrome secondary to lumbar disc herniation: long-term follow-up results].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2017Article
- Impact of bladder, bowel and sexual dysfunction on health status of people with thoracolumbar spinal cord injuries living in the community.The journal of spinal cord medicine · 2017Article
- Effects of release and decompression techniques on nerve roots through percutaneous transforaminal endoscopic discectomy on patients with central lumbar disc herniation.Experimental and therapeutic medicine · 2017Article
- Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCauda equina syndrome (CES) is a rare complication of lumbar disk herniation. Although micturition, defecation and/or sexual function are by definition affected, little seems to be known about long-term outcome. Aim of this study is to review current literature on outcome of micturition, defecation and sexual function in CES due to lumbar disk herniation.
methodsA literature search was done in Pubmed, Embase and Web of Science using a sensitive search string combination. Studies were selected by predefined selection criteria and risk of bias was assessed using a Cochrane checklist adjusted for this purpose.
resultsFifteen studies were included. Risk of bias varied with six studies showing low risk. Mean minimal follow-up time was 17.0 months (range 3-24 months). All studies evaluated micturition and reported dysfunction at follow-up in 42.5% (range 13.3-90.0%). Defecation and sexual function were evaluated in eight and nine studies, respectively, and reported to be 49.6 (range 10.5-90.0%) and 44.3% (range 10.0-76.6%), respectively. Only two studies assessed sexual function in all patients at follow-up.
conclusionThis review offers an insight into the extent of micturition dysfunction, defecation dysfunction and sexual dysfunction (SD) in CES after decompression. Our findings show that dysfunction is extremely common, even at long-term follow-up. A condition as invalidating as CES requires proper patient information and the outcomes presented here may help in providing those data. Bias in included studies, lack of universal definitions and incomplete follow-up results qualify these data as the best we momentarily have, but still subject to improvement. Since SD seems to be severely underreported, we recommend further research to explore the extent of this problem, as well as the use of questionnaires in future clinical (prospective) studies to accomplish a more patient-based approach.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.