This is my first post, although I've been following this website for nearly a year. In March of this year I was diagnosed with degenerative disc disease in L4-L5 and L5-S1 with a slight posterior buldge at L4-L5 and a major left central posterior rupture at L5-S1. The later of which caused a significant amount of pain with saddle anesthesia and intense LLE sciatic pain. Utilized physical therapy, dry needling, and a very serious diet and supplement regiment for healing.
On November 21 while standing at work I suddenly was overcome with urinary urgency that lasted all day. I was fully emptying my bladder, but the sensation of needing to urinate persisted. The next day symptoms continued, went to the ER and had another MRI done. ER doc and my Orthopedic Surgeon i had been seeing diagnosed me with cauda equina syndrome and said they needed to operate immediately. That day they performed a microdisectomy of the L5-S1 herniation.
I immediately noticed that after surgery i no longer had urinary urgency. It is now just over a montb since surgery. I have had 2 cases of urinary urgency that lasted just for one day although those were horrible days. I believe both cases were brought on by sitting down for too long. Both times I felt perfectly fine the next morning. However, 3 days ago on Friday I had the urgency return and has persisted to today. I find that i feel great in the morning with no issues, but for the last 3 days by late afternoon the urgency returns and slowly gets worse and worse as the night goes on.
The only thing that helps is to take 20mg of hydrocodone and go to sleep.
Has anyone else had a similar case of urgency being resolved by surgery only to have it sporadically return later? Anyone have any advice or suggestions at this point? My surgeon's advice is to "keep an eye on it".
Lastly could this second round be caused by swelling from the surgery? If so, how long did it take you to have your post surgery swelling go down?
Thanks in advance for the help