Urinary tract dysfunctions in tethered spinal cord syndrome: improvement after surgical untethering.

Abstract

We reviewed 55 patients with urinary tract dysfunction owing to the tethered spinal cord syndrome, a form of spina bifida occulta with or without mild myelodysplasia, to evaluate the effects of neurosurgical treatment. Of the patients 24 underwent laminectomy with release of a tethered spinal cord and 31 were followed without the operation. Median followup was approximately 5 years. Urological findings at the most recent examination were compared between the 2 groups. In the operated group 5 patients, including 2 with myelodysplasia, apparently were cured of urinary tract dysfunction and 6, including 2 with myelodysplasia, had somewhat satisfactory results, whereas in the unoperated group only 4 patients had satisfactory results and the remainder were unaffected. Urinary tract dysfunction in some patients with spina bifida occulta may be relieved by surgical release of a tethered spinal cord.

• Authors: T Yoneyama, J Fukui, K Ohtsuka, H Komatsu, A Ogawa
• Journal: The Journal of urology (J Urol) Vol. 133 Issue 6 Pg. 999-1001 (Jun 1985) ISSN: 0022-5347 [Print] United States
• PMID: 3889376 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Child
• Child, Preschool
• Female
• Follow-Up Studies
• Humans
• Infant
• Male
• Middle Aged
• Spina Bifida Occulta (complications, physiopathology, surgery)
• Spinal Cord (surgery)
• Urination Disorders (etiology, physiopathology)
• Urodynamics