Evaluation of Patients with Neurogenic Bladder Following Lumbar and Lumbosacral Disc Herniation Surgery: A Retrospective Cross-Sectional Study

Abstract

The aim of this study was to explore the urodynamic features and renal/bladder functions in patients following lumbar or lumbosacral disc herniation surgery. Material and Methods: This retrospective study included 28 patients with a history of lumbar disc herniation surgery. Demographic and clinical data were collected. Data comparisons were performed in the subgroups according to gender, bladder filling sensation, and postoperative duration. Results: A total of 28 patients (16 males, 12 females) with a mean age of 52.9±12.7 years were enrolled. The mean duration since the lumbar disc operation was 26.1±27.1 months. When the patients were allocated two groups with respect to postoperative duration (<6 months, ≥6 months), statistically significant difference was observed in emptying method at admission (p=0.024). Similarly, when the patients were allocated two groups with respect to gender (male-female) statistically significant difference was observed in emptying method at admission (p=0.049). Frequency of indwelling urethral catheter use was higher in male patients and in patients with postoperative duration <6 months while spontaneous voiding/emptying without catheter frequencies were higher in female patients and in patients with a postoperative duration of ≥6 months. Conclusion: Higher indwelling urethral catheter frequencies were observed in patients with short postoperative duration and in male patients. Evaluation of the patients with indwelling urethral catheters as soon as possible and shifting to spontaneous voiding or intermittent catheterisation will diminish the side effects of indwelling urethral catheters in these patients.