Sacral Dysgenesis Associated with Occult Spinal Dysraphism Causing Neurogenic Bladder Dysfunction

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Abstract
A case of a neurogenic bladder in a 20 yr old man is described. The patient had difficulty in voiding and incontinence, with a history of several urinary infections. Misdiagnoses included stricture and posterior urethral valves. Early treatment included urethral dilation, a transurethral resection and a left ureteral implantation. Throughout this time the neurological examinations were essentially normal. Final diagnosis was sacral dysgenesis with associated occult spinal dysraphism, after the discovery of a small pock mark over the sacrum and an abnormal pelvic X-ray. Urinary diversion was done.

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