Title: Urodynamic studies in tethered cord syndrome
Abstract: Objective To evaluate the changes and clinical significance of urodynamic study in patients with tethered cord syndrome (TCS).Methods Sixty six patients underwent urodynamic evaluation, MRI and VCUG.Results 58 patients had abnormal urodynamic studies. Detrusor hyper reflexia was found in 33 cases, areflexia in 25 cases, detrusor sphincter dyssynergia in 27. Bladder compliance was decreased and detrusor pressure was increased in 54 cases. Residual urine was increased in 53 cases. Bladder volume was decreased in 51 cases. Eight patients had normal urodynamic studies. The position of medullary cone was normal in 5 cases, between L 3-L 5 in 32 and below L5 in 29. Vesicoureter reflux developed in 16 cases. Conclusions Patients with tethered cord have various abnormal urodynamic studies. The position of medullary cone has no correlation with urodynamic study and upper urinary tract condition. Detrusor pressure, detrusor sphincter dyssynergia and age have correlated with upper urinary tract damage. Urodynamic can evaluate the function of lower urinary tract and guide the treatment of TCS.
Publication Year: 2002
Publication Date: 2002-01-01
Language: en
Type: article
Access and Citation
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot