Pre- and postoperative urodynamic findings in children with tethered spinal cord syndrome

Eur Urol. 1991;19(2):139-41. doi: 10.1159/000473602.


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.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Male
  • Meningomyelocele / surgery*
  • Postoperative Complications / physiopathology*
  • Postoperative Complications / surgery
  • Spina Bifida Occulta / complications
  • Spina Bifida Occulta / physiopathology*
  • Spina Bifida Occulta / surgery
  • Urinary Bladder, Neurogenic / etiology
  • Urinary Bladder, Neurogenic / physiopathology*
  • Urodynamics / physiology*