Sacral dysgenesis associated with occult spinal dysraphism causing neurogenic bladder dysfunction.

Abstract

A case of a neurogenic bladder in a 20-year-old man is described. The patient had difficulty in voiding and incontinence, with a history of several urinary infections. Misdiagnoses included stricture and posterior urethral valves. Early treatment included urethral dilation, a transurethral resection and a left ureteral implantation. Throughout this time the neurological examinations were essentially normal. Final diagnosis was sacral dysgenesis with associated occult spinal dysraphism, after the discovery of a small pock mark over the sacrum and an abnormal pelvic x-ray. Urinary diversion was done.

• Authors: D Cumes
• Journal: The Journal of urology (J Urol) Vol. 117 Issue 1 Pg. 127-8 (Jan 1977) ISSN: 0022-5347 [Print] United States
• PMID: 830961 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Diagnosis, Differential
• Humans
• Male
• Sacrum (abnormalities)
• Spinal Cord (abnormalities)
• Urethral Stricture (diagnosis)
• Urinary Bladder Neck Obstruction (diagnosis)
• Urinary Bladder, Neurogenic (diagnosis, etiology)