Cauda equina syndrome (CES) is most commonly caused by lumbar herniated disc; emergency decompressive surgery is essential to increase chances of recovery. Even though micturition, defecation and/or sexual function are by definition affected in CES patients, little is known about the outcome of these functions after surgical intervention. This thesis provides a comprehensive overview on presentation and on short- and long term outcome of CES after surgical intervention focused on micturition, defecation and sexual function, demonstrating high prevalences of dysfunction even at long term follow up. In addition, this thesis provides insight into attitude and practice patterns of neurosurgeons regarding discussing sexual health and fertility with spinal patients and explores the relationship between presenting MRI features and clinical features (both at outcome and at presentation).
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