Portal de Periódicos da CAPES

Urological Aspects of the Tethered Cord Syndrome

1986; Lippincott Williams & Wilkins; Volume: 135; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)45623-0

1527-3792

Wayne J.G. Hellstrom, Michael S. B. Edwards, Barry A. Kogan,

Fetal and Pediatric Neurological Disorders

No AccessJournal of Urology1 Feb 1986Urological Aspects of the Tethered Cord Syndrome Wayne J.G. Hellstrom, Michael S.B. Edwards, and Barry A. Kogan Wayne J.G. HellstromWayne J.G. Hellstrom More articles by this author , Michael S.B. EdwardsMichael S.B. Edwards More articles by this author , and Barry A. KoganBarry A. Kogan More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)45623-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We performed urological evaluations in 18 patients with the tethered spinal cord syndrome. Of the patients 4 had low grade vesicoureteral reflux but none had significant upper tract anomalies. Urodynamic studies documented a flaccid bladder in 9 patients (5 with supersensitivity to bethanechol), an uninhibited bladder in 5, mixed bladder dysfunction in 2 and normal function in 2. Repeat urodynamic studies were performed in 15 patients at least 6 months after release of the tethering. Of 8 patients with flaccid bladders studied postoperatively 6 had significant changes: 2 became normal, 2 had limited contractions and 2 had evidence of upper motor neuron abnormalities. Supersensitivity to bethanechol was of no predictive value. All 4 patients with uninhibited bladders who were evaluated preoperatively and postoperatively had improved and 3 currently are entirely normal. Careful urological evaluation of patients with the tethered spinal cord syndrome is helpful not only for diagnosis but also for appropriate management preoperatively and postoperatively. The fact that lower urinary tract function improves in some patients should encourage early and aggressive neurosurgical management of patients with this syndrome. © 1986 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byMacejko A, Cheng E, Yerkes E, Meyer T, Bowman R and Kaplan W (2007) Clinical Urological Outcomes Following Primary Tethered Cord Release in Children Younger Than 3 YearsJournal of Urology, VOL. 178, NO. 4S, (1738-1743), Online publication date: 1-Oct-2007.Afshar K, Blake T, Jaffari S, MacNeily A, Poskitt K and Sargent M (2007) Spinal Cord Magnetic Resonance Imaging for Investigation of Nonneurogenic Lower Urinary Tract Dysfunction—Can the Yield be Improved?Journal of Urology, VOL. 178, NO. 4S, (1748-1751), Online publication date: 1-Oct-2007.Tarcan T, Önol F, İlker Y, Şimek F and Özek M (2018) Does Surgical Release of Secondary Spinal Cord Tethering Improve the Prognosis of Neurogenic Bladder in Children With Myelomeningocele?Journal of Urology, VOL. 176, NO. 4, (1601-1606), Online publication date: 1-Oct-2006.TARCAN T, BAUER S, OLMEDO E, KHOSHBIN S, KELLY M and DARBEY M (2018) LONG-TERM FOLLOWUP OF NEWBORNS WITH MYELODYSPLASIA AND NORMAL URODYNAMIC FINDINGS: : IS FOLLOWUP NECESSARY?Journal of Urology, VOL. 165, NO. 2, (564-567), Online publication date: 1-Feb-2001.GIDDENS J, RADOMSKI S, HIRSHBERG E, HASSOUNA M and FEHLINGS M (2018) URODYNAMIC FINDINGS IN ADULTS WITH THE TETHERED CORD SYNDROMEJournal of Urology, VOL. 161, NO. 4, (1249-1254), Online publication date: 1-Apr-1999.WU H, KOGAN B, BASKIN L and EDWARDS M (2018) LONG-TERM BENEFITS OF EARLY NEUROSURGERY FOR LIPOMYELOMENINGOCELEJournal of Urology, VOL. 160, NO. 2, (511-514), Online publication date: 1-Aug-1998.Palmer L, Richards I and Kaplan W (2018) SUBCLINICAL CHANGES IN BLADDER FUNCTION IN CHILDREN PRESENTING WITH NONUROLOGICAL SYMPTOMS OF THE TETHERED CORD SYNDROMEJournal of Urology, VOL. 159, NO. 1, (231-234), Online publication date: 1-Jan-1998.Fone P, Vapnek J, Litwiller S, Couillard D, McDonald C, Boggan J and Stone A (2018) Urodynamic Findings in the Tethered Spinal Cord Syndrome: Does Surgical Release Improve Bladder Function?Journal of Urology, VOL. 157, NO. 2, (604-609), Online publication date: 1-Feb-1997.Mak V and Radomski S (2018) Value of Magnetic Resonance Imaging of the Lumbosacral Spinal Cord in Patients with Voiding DysfunctionJournal of Urology, VOL. 156, NO. 4, (1421-1423), Online publication date: 1-Oct-1996.Satar N, Bauer S, Shefner J, Kelly M and Darbey M (2018) The Effects of Delayed Diagnosis and Treatment in Patients with an Occult Spinal DysraphismJournal of Urology, VOL. 154, NO. 2, (754-758), Online publication date: 1-Aug-1995.Pérez L, Barnes N, MacDiarmid S, Oakes W and Webster G (2018) Urological Dysfunction in Patients with DiastematomyeliaJournal of Urology, VOL. 149, NO. 6, (1503-1505), Online publication date: 1-Jun-1993.Foster L, Kogan B, Cogen P and Edwards M (2018) Bladder Function in Patients with LipomyelomeningoceleJournal of Urology, VOL. 143, NO. 5, (984-986), Online publication date: 1-May-1990. Volume 135Issue 2February 1986Page: 317-319 Advertisement Copyright & Permissions© 1986 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Wayne J.G. Hellstrom More articles by this author Michael S.B. Edwards More articles by this author Barry A. Kogan More articles by this author Expand All Advertisement PDF downloadLoading ...