Long Term Effects Cauda Equina Syndrome
Long term effects cauda equina syndrome. This can put considerable strain on relationships. For a man this may mean that he can no longer achieve an erection or ejaculate. Loss of sexual function.
Pain in the area of the cauda equina the lower back. CES can affect people both physically and emotionally particularly if it is chronic. To determine the factors that influence outcome after surgery for cauda equina syndrome CES.
Pain was chosen as the symptom patients would most value treatment for by 57 but only 7 reported post-operative pain management referral. Sexual sensation may be lost. The permanent effects of cauda equina syndrome can be incredibly serious anc can include the following.
Summary of Background Data. Patients presenting with CES-R had significantly worse long-term outcomes in bladder stream domain bowel and sexual function in compared to those with CES-I. The cauda equina nerves supply muscle sensation to the bladder bowel and legs.
A rare neurologic disorder caused by impingement of the nerve roots of the cauda equina secondary to disc herniation spinal stenosis vertebral fracture neoplasm or infection. Cauda Equina is a relatively rare condition and therefore data on long term outlook is limited. Cauda equina is a syndrome that causes numbness and weakness to the lower extremities from a severe compression of the nerve roots in the lumbar spine.
Cauda equina syndrome can be caused by any condition that results in direct irritation or pinching of the nerves at the end of the spinal cord. This is a surgical emergency and requires a decompressive procedure so to not be left with permanent nerve damage. In addition it can cause urinary or bowel problems.
Based on the SF-36 ODI and Low Back Outcome Scores patients who have had CES do not return to a normal status. Despite the common belief that the restoration of functions that are affected by CES can take several years postoperatively follow up seldom exceeds the first year after surgery.
Loss of sexual function.
Pain was chosen as the symptom patients would most value treatment for by 57 but only 7 reported post-operative pain management referral. For a man this may mean that he can no longer achieve an erection or ejaculate. CES can affect people both physically and emotionally particularly if it is chronic. Cauda Equina Syndrome is a potentially devastating condition caused by the compression usually by a herniated spinal disc of the nerves at the base of the spinal cord. Clinical signs may include bladder or bowel dysfunction paresthesia and weakness of the lower extremities. This is a surgical emergency and requires a decompressive procedure so to not be left with permanent nerve damage. The cauda equina nerves supply muscle sensation to the bladder bowel and legs. The timing of surgical decompression remains controversial. Whilst rare in itself the physical consequences of Cauda Equina Syndrome are well understood - particularly if the problem is not treated rapidly as the condition can result in ongoing neurological pain permanent loss of sensation and power in the lower limbs urinary or faecal incontinence and loss of sexual sensation and function.
Despite the common belief that the restoration of functions that are affected by CES can take several years postoperatively follow up seldom exceeds the first year after surgery. Loss of sexual function. The cauda equina nerves supply muscle sensation to the bladder bowel and legs. Clinical signs may include bladder or bowel dysfunction paresthesia and weakness of the lower extremities. One symptom of cauda equina syndrome is the loss of sensation and function around the genitals. Sexual sensation may be lost. Factors affecting long-term functional and sphincteric outcome In our series the symptom duration before operation and the speed of onset do not affect the outcome more than 2 years after surgery.
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