Urine retention as the first presentation of congenital absence of the sacrum

Abstract

Rationale:Congenital absence of either a part of or the entire sacrum is rare, and only a few such cases have been reported until now. Most cases showed vertebral, pelvic, neurological, and visceral abnormalities, and the cases were usually quite serious. Only in rare cases was there urine retention without other symptoms.Patient concerns:We describe the case of a 28-years-old man who presented with urine retention.Diagnoses:Urodynamic study confirmed that he had urinary retention, and magnetic resonance imaging (MRI) showed the absence of the sacrum.Interventions:He was treated with electro-acupuncture and medications to improve nerve function.Outcomes:His symptoms showed clear improvement.Lessons:Although this case is rare, it indicates that the spine and pelvis may need to be examined when unexplained urinary retention occurs.

Low-frequency Electrical Stimulation Combined with Preventative Pelvic Floor Muscle Exercises and Knowledge-attitude-practice Model in Women with Urinary Retention after a Pelvic Surgery

“…Clinical manifestations include inability to urinate autonomously, bladder filling and distending pain in the lower abdomen. If effective treatment is not provided to recover the autonomous urination function of bladders, some patients may demand indwelling catheter again, which affects the prognosis and severely compromises their quality of life (QOL) (Wu et al 2018). Presently, many treatments are available for women with UR after a pelvic surgery, including low-frequency electrical stimulation (LFES) (Mardani et al 2018), pelvic floor muscle exercises (PFME) (Deffieux et al 2015), psychotherapy, massage, acupuncture and moxibustion, which have definite effects (Meister et al 2017).…”