Delayed diagnosis of voiding dysfunction: occult spinal dysraphism.
The recognition of spinal dysraphism as a potential cause of voiding dysfunction is of the utmost importance if appropriate treatment and followup are to be initiated. We present 2 women with prolonged voiding dysfunction who had spinal dysraphism, intradural lipoma and related urodynamic abnormalities. The importance of initial symptom recognition, physical examination, urodynamic evaluation, appropriate treatment and periodic re-examination to detect progressive neurological impairment is emphasized.
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D016136:Spina Bifida Occulta / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D014549:Urinary Incontinence / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics