Cauda equina syndrome
ICD-10 G83.4 · ICD-11 8B40
First-line protocol

Treatment of Cauda Equina Syndrome with Thecal Sac Compression and Neurogenic Urinary Retention

This protocol addresses cauda equina syndrome presenting with thecal sac compression alongside neurogenic urinary retention — a presentation classified as CES with retention (CESR), which carries specific management imperatives.

Clinical Scenario

Thecal sac compression with neurogenic urinary retention defines this as CESR (CES with retention). This classification directly determines the intervention strategy and the urgency with which it must be applied.

Treatment Approach

Management of this presentation centres on surgical decompression. The full protocol specifies the operative approach and the critical role that timing plays in the decision.

The complete regimen — including the precise surgical strategy and time-sensitive criteria — is available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

  1. Thecal sac compression with neurogenic urinary retention is considered as CESR (CES with retention).
  2. There should be no delay for surgical decompression.
  3. Direct surgery is the only option in this situation.
DOI: 10.32587/jnic.2019.00136
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