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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Urination While Having Osteoarthritis In The Lower Back?

I have Osteoarthritis in my lower back. I was in to have it checked and they said they would not operate until I was having difficulty walking. I am not to that point but I have experienced ED lately and frequent urination at night. Could both these symptoms be caused by the Osteoarthritis?
Mon, 8 May 2017
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Orthopaedic Surgeon 's  Response
dear patient thank you for your question.
Yes it is quite possible as i will try and explain to uou as best i can.

The brain and spinal cord are the central chains of command that transmit signals and messages to and from the bladder. Below the first lumbar vertebrae in the low back, the spinal cord divides into a bundle of nerves called the cauda equina . Below the end of the lumbar spine is the sacrum—this region is called the sacral spine. The sacrum is the backside of the pelvis (between the hip bones).
The nerves in the sacral spine branch outward beyond the spine and become part of the peripheral nervous system. These nerves supply and stimulate bladder sensation and function. When the specific nerve that enables bladder sensation and function become compressed, irritated/inflamed, injured, or damaged—organ dysfunction results. Any of the neurogenic bladder disorder symptoms listed above may develop and persist.

In OA of spine there is decrease in intervertebral space or anterior/posterior lipping or osteophyte formation which may irritate the sacral nerves leading to urinary incontinance

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What Causes Frequent Urination While Having Osteoarthritis In The Lower Back?

dear patient thank you for your question. Yes it is quite possible as i will try and explain to uou as best i can. The brain and spinal cord are the central chains of command that transmit signals and messages to and from the bladder. Below the first lumbar vertebrae in the low back, the spinal cord divides into a bundle of nerves called the cauda equina . Below the end of the lumbar spine is the sacrum—this region is called the sacral spine. The sacrum is the backside of the pelvis (between the hip bones). The nerves in the sacral spine branch outward beyond the spine and become part of the peripheral nervous system. These nerves supply and stimulate bladder sensation and function. When the specific nerve that enables bladder sensation and function become compressed, irritated/inflamed, injured, or damaged—organ dysfunction results. Any of the neurogenic bladder disorder symptoms listed above may develop and persist. In OA of spine there is decrease in intervertebral space or anterior/posterior lipping or osteophyte formation which may irritate the sacral nerves leading to urinary incontinance