How do physicians diagnose cauda equina syndrome?

Urgent Evaluation: This emergent syndrome is due to severe compression of the lumbar nerve rootlets (cauda equina) secondary to a ruptured disk, tumor, infection, fracture, or narrowing of the spinal canal. If not treated, it can lead to permament bowel/bladder dysfunction, paralysis, and sexual dyfunction. The diagnosis is made with a history and physical exam, along with MRI or ct scanning.

Story, exam, tests: It is something that is uncovered by the person's story [inability to empty the bladder (and bowels), occasionally incontinence; usually numbness in the private area]. A rectal exam will provide some additional evidence. It is confirmed (if present) by imaging such as MRI (magnetic resonance imaging). It is considered urgent. If you have symptoms go to your doctor or emergency room/urgent care.