# Adult Manifestation of Lower Urinary Tract Dysfunction as Daytime Urinary Incontinence and Nocturnal Enuresis in a Case With Spinal Lipoma

## TL;DR

A 33-year-old man with a spinal lipoma developed urinary issues, showing that adult urinary function can change unexpectedly in such cases.

## Contribution

Highlights the need for ongoing urological evaluation in adults with spinal lipoma despite early normal findings.

## Key findings

- The patient developed severe urinary symptoms with high storage pressure and low bladder compliance.
- Bladder deformity was observed, but symptoms and compliance improved after treatment with CIC and vibegron.
- Atypical urodynamic findings suggest the need for continued urological follow-up in similar cases.

## Abstract

Generally, lower urinary tract function is considered to show few changes in adulthood for cases of spina bifida.

The case involved a 33‐year‐old man with a primary diagnosis of spinal lipoma. Urological management by spontaneous voiding was maintained, and uroflowmetry at 23 years old showed a maximum flow rate of 9.6 mL/s and a residual urine volume of 35 mL; then urological follow‐up was ended. The patient developed nocturnal enuresis and daytime urinary incontinence. Residual urine was exceeding 500 mL. Bladder deformity was identified on VCUG. UDS showed a high storage pressure with compliance of 5.0 mL/cmH2O. CIC management was introduced, and vibegron was initiated. After that, the urinary symptoms were resolved immediately. On video‐UDS, bladder deformity and compliance had improved.

Patients managed by spontaneous voiding should be carefully evaluated for atypical UDS findings to decide whether urological follow‐up can be considered complete.