I had a L4/l5 Microdiscectomy in May which fixed the severe leg pains I was suffering. However, in August the pains in my lower back returned and got worse, radiating pain into my sacrum and hips. I saw my consultant again today. He confirmed that the pain source was not my hips and said that there may be something amiss at L1/L2 level. He has ordered another MRI scan to find out what's going on and will deal with whatever shows up.
He asked me about bowel and bladder function and was I having any difficulties either emptying or retaining. I told him that I have recently had episodes when I finish urinating but, after I have 'zipped up' I get a leakage of about 10 mls requiring a change of underwear. He was a little concerned and said that I should attend A&E / ER if I suddenly become fully incontinent. He told me about cauda equina and what to look out for.
I have no 'saddle' numbness, but one thing I forgot to mention is that I have recently found that I get very little warning that I need to do a poo. All of a sudden I get an almost painful need to evacuate. It happened yesterday and I got to the toilet just in time. However, this evening I was not so fortunate and made a mess. I can 'squeeze the door shut' with a mild urge but, without any build up I am getting caught short.
So my question is: is this a cauda equina syndrome symptom and, if so, is it urgent enough to go to a&e?
L5-S1 herniation. Both knee meniscus tear. L4-5 herniation - 2 x nerve block injections. L4-5 discectomy. L1-2 nerve block injection. L4-5 reherniation - TLIF fusion. 2016: L1-2 and L5-S1 retrolistheses and multiple facet joint degeneration.