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Doctor insights on: Due Cauda Equina

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Badder not emptying as nerves damaged due to cauda equina.My urologist recommends implanting placemaker. How much would be cost?I am so worried.

Badder not emptying as nerves damaged due to cauda equina.My urologist recommends implanting placemaker. How much would be cost?I am so worried.

$$$: Get cost estimate from your doctor - surprise - sometimes they don't know the total cost as there are charges from anesthesia, lab, hardware manufacturer, follow up visits, etc.. Shop around. Other facilities and physicians may be cheaper. Best price is often at a larger facility in a major metropolitan area. ...Read more

Dr. Behnam Myers
124 doctors shared insights

Cauda Equina (Definition)

Spinal cord ends at upper lumbar spine (l1-2 level) and become a bundle of nerve roots, which look like horse tail. It passes bony tube inside the lumbar vertebrae while sending out nerve roots at each spine levels. You can easily visualize the anatomy on-line if ...Read more


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I am 24 years old, my nerve damaged due to cauda equina syndrome, did surgery but still bladder not emptying. Will my bladder get its function back?

I am 24 years old, my nerve damaged due to cauda equina syndrome, did surgery but still bladder not emptying. Will  my bladder get its function back?

See a urologist: Hard to predict eventual outcomes, as nerve-bladder function is quite sensitive. However, urodynamic studies might provide insight as to the status of recovering nerve fibres. Also, there are meds available to assist urinary function. Possible that you may improve over a few months as healing proceeds. ...Read more

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Had neurogenic bladder due to cauda equina syndrome.Is there any chance that botox can help reduce urinary retention, urgency problem?Should i try it?

Had neurogenic bladder due to cauda equina syndrome.Is there any chance that botox can help reduce urinary retention, urgency problem?Should i try it?

Talk to urologist: Assuming you have an atonic bladder causing problems with initiation of urine, or overflow, Botox would have no value and might even cause worsening. If you suffered urgency incontinence, might be useful. Urodynamic testing can determine the precise bladder dysfnctn and guide therapeutic intervention. ...Read more

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Did disectomy for loss of bladder due to cauda equina, bladder still not emptying.Doctor is doing nerve conduction test.Does it help to find treatment?

Yes: Getting the right treatment can improve your overall symptoms. You should see your family practice physician. There may be some medications that can also help. ...Read more

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Does botox helps patients having neurogenic bladder due to partial cauda equina syndrome?Interstim didn't helped now should I try botox for bladder?

Does botox helps patients having neurogenic bladder due to partial cauda equina syndrome?Interstim didn't helped now should I try botox for bladder?

Likely to help: Botox injections are both indicated and efficacious for bladder spasticity causing neurogenic bladder. Although i provide Botox for different indications, i know doctors who successfully treat neurogenic bladder of various causes this way. Good luck! ...Read more

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What is cauda equina?

See details: This is a bundles of spinal nerves and nerve roots at the bottom of the spinal cord. These nerves supple pelvic organs, legs, bladder and rectum. ...Read more

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What is cauda equina syndrome?

Nerve compression: A cauda equina syndrome involves the lumbar spine below the tip of the spinal cord, which usually ends at the l1-2 disc space. The syndrome involves compression of all of the nerves within the spinal canal and is an acute emergency. There are a variety of problems that can compromise the spinal canal such as massive disc ruptures, abcess, hematoma, and tumors. Bladder dysfunction is common. ...Read more

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What is cauda equina syndrome?

What is  cauda equina syndrome?

Pressure on nerves : This syndrome occurs due to pressure on the nerves in the lumbar spinal canal. After the spinal cord ends, the nerves going down to the legs and bladder form a collection of stringlike structures called the "horse tail" or cauda equina in latin. Severe pressure on this group of nerves can cause profound leg weakness, and loss of bladder/bowel control. This usually occurs due to large disc bulges. ...Read more

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What is cauda equina syndrome ?

Compression: Cauda equina is the cluster of nerve roots distal to the end of the spinal cord in the lumbosacral cistern, at the lower back. Compression due to disc rupture, tumor, or narrowing can cause leg weakness, and/or numbness, inability to initiate urination, constipation or diarrhea, and various expressions of pain. Can be lumber stenosis, which is gradual. All of the above need evaluation, ?Op. ...Read more

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What is "cauda equina syndrome"?

What is  "cauda equina syndrome"?

Compression: Cauda equina is the cluster of nerve roots distal to the end of the spinal cord in the lumbosacral cistern, at the lower back. Compression due to disc rupture, tumor, or narrowing can cause leg weakness, and/or numbness, inability to initiate urination, constipation or diarrhea, and various expressions of pain. Can be lumber stenosis, which is gradual. All of the above need evaluation, ?Op. ...Read more

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How many nerves are in cauda equina?

How many nerves are in cauda equina?

2 sets of each: There will be 2 of each spinal nerve from lumbar to sacral-left & right. There are some variations based on where the conus or end of the spinal cord is-from t12 to L3 with most ending at L1 level. So there are 3-5 lumbar pairs & 5 sacral pairs. So the total can range from 16 to 20 nerves in the cauda equina which in latin means "horse's tail" as it looks like one dangling wrapped in thecal sac. ...Read more

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Can you explain cauda equina syndrome?

Neurological : It is a serious neurologic condition in which there is acute loss of function of the nerve roots of the spinal canal below the termination of the spinal cord. Compression, trauma or other damage to this region of the spinal cord can result in cauda equina syndrome. ...Read more

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What exactly is cauda equina syndrome?

Severe nerve pinch: There is a bundle of nerves in the lumbar spine that hang down from the spinal cord. This is the cauda equina or the horse's tail. The syndrome is caused by severe compression or injury of the entire bundle. It results in bilateral leg weakness, bowel and bladder incontinence. It's commonly caused by a large herniated disc, but also by tumor, trauma or hemorrhage. ...Read more

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What are symptoms of cauda equina syndrome?

Many: The nerve compression can be initially intermittent such as neurogenic claudication, with weakness, and numbness on exercise or walking. Later, perhaps, trouble with bladder and bowel, leg weakness, perhaps atrophy, numbness and pain. ...Read more

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Can you tell me about cauda equina syndrome?

Can you tell me about cauda equina syndrome?

Compression at base : Of spinal cord and early nerve roots in spinal cnal, which can be a serious emergency and would need surgical intervention. This syndrome includes not only pain, but loss of control of bladder and/or bowel (loss of continence or retention), numbness on the insides of your thighs and groin area, occasionally weakness in legs. If suspected, see physician immediately. ...Read more

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What are the tests for cauda equina syndrome?

What are the tests for cauda equina syndrome?

History, exam, image: Trouble emptying the bladder, new and attended by numbness in the private area (and other symptoms) prompt a rectal exam. Urgent imaging (usually mri) of the low back confirms the diagnosis. Decompression as soon as possible seems to improve the outcome. ...Read more

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What sort of disease is cauda equina syndrome?

What sort of disease is cauda equina syndrome?

SERIOUS: This literally means 'horses tail'' referring to the summation of nerves in the low back. The seriousness comes from the syndrome of all the nerves being compressed by a large lumbar (low back) disc (or tumor) causing weakness in legs and bladder & bowel changes. Immediate surgery is best treatment or permanent damage may result. ...Read more

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What are the symptoms of cauda equina syndrome?

Saddle anesthesia: Cauda equine syndrome is caused by compression of nerves arising from the end of the spinal cord. Symptoms can include pain, weakness and numbness in legs there can be problems with urinary function as well. Numbness in the region of the genitals and anus (saddle anesthesia) is one of the classic findings associated with this disorder that differentiate it from a less severe lumbar pinched nerve. ...Read more

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What can you expect from cauda equina syndrome?

Weakness: The term refers to disease affecting the terminal area below the spinal cord, and can cause bilateral leg weakness, numbness, inability to urinate, but early on may cause a neurogenic claudication, where walking or exercise creates transient numbness and weakness. ...Read more

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How do I avoid developing cauda equina syndrome?

How do I avoid developing cauda equina syndrome?

Doctor: If you have a history of lumbar disc herniation or spinal stenosis, check with your doctor to see if the compression seen on imaging studies warrants concern. If you have no history of lumbar issues, then your risk is extremely low of ever developing this condition in one's lifetime. There is no screening for this pathology for prevention. ...Read more

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What happens once you have cauda equina syndrome?

Depends on cause.: The prognosis of such a syndrome all depends on what is causing the issues. It may need surgical intervention, medication management, all depending on the physiologic etiology of the syndrome in question. ...Read more

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Can you tell me the function of the cauda equina?

It is a descriptive: Term used to label the nerves emerging from the end of the spinal cord which usually ends at the L1 level in most adults in a region termed the conus. Cauda equina or " horse's tail" is the appearance of these nerves as they dangle from the conus or end of the spinal cord as they transverse and exit through the lumbar and sacral spine regions. ...Read more

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Is cauda equina syndrome a permanent disabillity?

Possibly: Depending on your function of bowel, bladder and legs. If it was caused by anatomical pressure on cauda equina, which then surgically fixed, you might still experience slow improvement. ...Read more

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What to do if I'm suffering from cauda equina syndrome?

See your doctor.: If you truly have cauda equina syndrome, you may need surgery to prevent permanent damage to your nerves. In its simplest form, the surgery involves taking the pressure off of the nerves in your lower back. ...Read more

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What is the definition or description of: cauda equina?

What is the definition or description of: cauda equina?

Tail of the horse: Spinal cord ends at upper lumbar spine (l1-2 level) and become a bundle of nerve roots, which look like horse tail. It passes bony tube inside the lumbar vertebrae while sending out nerve roots at each spine levels. You can easily visualize the anatomy on-line if you access google image. ...Read more

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What are the different types of cauda equina syndrome in adults?

What are the different types of cauda equina syndrome in adults?

Cauda Equina: Cauda equina i.E "horses tail" is composed of nerves that sprout off of the spinal cord that ends in the lower thoracic upper lumbar area. In the lumbar spine typically there is only nerve roots. Therefore when there is severe squeezing of the cauda equina the patient will feel sensations of bowel and bladder incontinence, or "loss"
of urinary control urgency or being unable to urinate. ...Read more

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What is the definition or description of: cauda equina syndrome?

Lower back: The cauda equina is the "horses tail" of the nerves at the tail end of the spinal cord below the waist level. These nerves subserve the bladder, bowel, and legs. If the area is compressed (lumbar stenosis) or a tumor is present, the nerves can be damaged, which may cause initial neurogenic claudication (with activity) or leg weakness/numbness, and bladder/bowel issues. ...Read more

Dr. Behnam Myers
138 doctors shared insights

Cauda Equina Syndrome (Definition)

A serious neurologic condition in which damage to the cauda equina causes loss of function of the lumbar plexus (nerve roots) of the spinal canal below the termination (conus medullaris) ...Read more


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