The authors present 2 cases in which urinary retention was related to
supratentorial cortical lesions. These cases support the presence and
function of a supratentorial center involved in control of the voiding
reflex loop and indicate that lesions affecting this center can resul
t in urinary retention rather than the syndrome of incontinence, urgen
cy, and increased urinary frequency that is generally attributed to dy
sfunction of this system. In such cases, a clinical presentation of ur
inary retention in the absence of associated remarkable neurological d
eficits renders clinical evidence as a localizing sign.