Lumbar Nerve Root Compression and Interstitial Cystitis—Response to Decompressive Surgery
- 1 October 1991
- journal article
- Published by Wiley in British Journal of Urology
- Vol. 68 (4) , 361-364
- https://doi.org/10.1111/j.1464-410x.1991.tb15350.x
Abstract
Summary An identifiable lumbar nerve root compression appears to cause urological dysfunction consistent with interstitial cystitis. Ten patients (9 females, 1 male) were evaluated for chronic pelvic pain. Cystoscopic and histological appearances were consistent with a diagnosis of interstitial cystitis. Magnetic resonance studies of the lower spine consistently demonstrated a lateral compression of the L5 dorsal nerve root. Decompression of the lateral foramina of L5 resulted in immediate relief of pain in 9 patients, who have been followed up for 6 months without a recurrence. Possible mechanisms involving sympathetic dystrophy of the pelvic plexus are reviewed.Keywords
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