title: [Tethered cord syndrome in the adult].
abstract: OBJECTIVE
  To describe a case of tethered cord syndrome, with special reference to the diagnostic and therapeutic difficulties.
  
  
  METHODS
  A case of an adult patient with tethered cord syndrome after the complications post-TURP is described. The most relevant radiological and urodynamic features are presented.
  
  
  CONCLUSIONS
  The tethered cord syndrome in the adult has a wide variety of symptoms. The age of onset depends on the level of cord involvement and the precipitationg factors. The urological symptoms are as varied as the urodynamic features, therefore each case must be treated independently. Treatment is a controversy; untethering offers little benefit to the patients. The incidence of the tethered cord syndrome in the adult may be higher than the reported incidence, particularly in patients with progressive and unexplained neurological, orthopedic or urological symptoms.
authors.affiliation: Servicio de Urología, Hospital Universitario Valdecilla, Santander, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Gutiérrez Baños
authors.forename: B
authors.initials: B
authors.lastname: Martín García
authors.forename: R
authors.initials: R
authors.lastname: Hernández Rodríguez
authors.forename: J A
authors.initials: JA
authors.lastname: Portillo Martín
authors.forename: M A
authors.initials: MA
authors.lastname: Correas Gómez
authors.forename: J I
authors.initials: JI
authors.lastname: del Valle Schaan
authors.forename: A
authors.initials: A
authors.lastname: Vega Vega
authors.forename: A
authors.initials: A
authors.lastname: Villanueva Peña
authors.forename: R
authors.initials: R
authors.lastname: Gutiérrez García
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D016136:Spina Bifida Occulta / Q000150:complications / Q000175:diagnosis*; D014549:Urinary Incontinence / Q000209:etiology
vernacular_title: Síndrome de la médula anclada en el adulto.