What are the urinary symptoms of cauda equina syndrome?

Updated: Jun 14, 2018
  • Author: Segun Toyin Dawodu, JD, MD, MS, MBA, LLM, FAAPMR, FAANEM; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Urinary manifestations of cauda equina syndrome include the following:

  • Retention

  • Difficulty initiating micturition

  • Decreased urethral sensation

  • Typically, urinary manifestations begin with urinary retention and are later followed by an overflow urinary incontinence.

Bell et al demonstrated that the accuracy of urinary retention, urinary frequency, urinary incontinence, altered urinary sensation, and altered perineal sensation as indications of possible disk prolapse justified urgent MRI assessment. [76, 77]


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