title: Pre- and postoperative urodynamic findings in children with tethered spinal cord syndrome.
abstract: 14 children with tethered spinal cord syndrome undergoing neurosurgical untethering were urodynamically evaluated in the pre- and postoperative period. The tethered spinal cord syndrome was mainly due to a previous surgical repair of meningomyeloceles. Preoperatively a neurogenic bladder dysfunction was found in 8 patients; postoperatively a transient amelioration could be demonstrated in 3 patients, whereas 2 children developed urinary retention, 1 of whom had never any complaint of bladder symptoms before. Thus, a high incidence of bladder dysfunction was revealed in children with tethered spinal cord syndrome, demonstrating substantial changes of the bladder function following neurosurgical intervention. With regard to these results a urodynamic evaluation should be part of the pre- and postoperative examinations in children with a tethered spinal cord syndrome.
authors.affiliation: Department of Urology, Georg-August University, Göttingen, FRG.
authors.forename: G
authors.initials: G
authors.lastname: Zöller
authors.forename: W
authors.initials: W
authors.lastname: Schöner
authors.forename: R H
authors.initials: RH
authors.lastname: Ringert
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology* / Q000601:surgery; D016136:Spina Bifida Occulta / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000503:physiopathology*; D014563:Urodynamics / Q000502:physiology*