Erectile Dysfunction as a Sentinel Presenting Feature of Cauda Equina Syndrome

Chengde Pham, Jin Wee Tee

Research output: Contribution to journalArticleOtherpeer-review


Cauda equina syndrome is a neurosurgical emergency that can be a diagnostic challenge as no single history or examination feature has been found to be pathognomonic. We present the case of a twenty-seven-year-old male presenting only with erectile dysfunction and found to have critical cauda equina compression from a large disc prolapse. Whilst sexual dysfunction is a recognized complication of spinal cord injury, the prevalence of erectile dysfunction as a presenting symptom of cauda equina compression is not known. Sexual histories are often poorly taken by clinicians and this case highlights that erectile dysfunction
alone can signify cauda equina syndrome.
Original languageEnglish
Number of pages2
JournalJSM Spine
Issue number1
Publication statusPublished - 2018
Externally publishedYes

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