Abstract
We have reported the results of treatment for 14 cases of lumbar disc herniation with dysuria experienced for the past 20 years.
There were 13 males and one female aged from 29 to 66 years (average 44.5).
Postperative myelography showed complete block in 13 cases and incomplete block in one.
Preoperative results were excellent in seven, good in two and poor in five with their urinary retention unimproved. Of these five cases with poor results, two had the operation performed more than a week after the onset of dysuria. In the remaining three patients, who had suffered from severe paralysis of their bilateral lower extremities as well as bladder and rectal dysfunctions, their urinary retention did not improve, despite such early operations as within 24 hours. It follows that the patients showing distinct lower limb weakness accompanied with the complete or incomplete block on myelogram should be operated on as early as possible, even when their bladder dysfunction is not severe.
