Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jan;31(1):190-196.
doi: 10.1007/s00586-021-07011-y. Epub 2021 Oct 3.

Urodynamic evaluation of bladder function in patients with urinary incontinence secondary to congenital tethered cord syndrome after homogeneous spinal-shortening axial decompression procedure

Ximing Xu #  1 , Kaiqiang Sun #  1 , Jingchuan Sun #  1 , Yuan Wang #  1 , Jian Zhu  1 , Xiaoqiu Yuan  1 , Chenglong Ji  1 , Yongfei Guo  1 , Jiangang Shi  2
Affiliations

Urodynamic evaluation of bladder function in patients with urinary incontinence secondary to congenital tethered cord syndrome after homogeneous spinal-shortening axial decompression procedure

Ximing Xu et al. Eur Spine J. 2022 Jan.

Abstract

Objective: To evaluate the effect of homogeneous spinal-shortening axial decompression procedure (HSAD) on bladder function in patients with spina bifida tethered syndrome.

Methods and materials: Patients with tethered spinal cord syndrome were collected prospectively, and all patients were treated with lumbar HSAD. Patients' urodynamic evaluation mainly included detrusor function, sphincter function, sphincter coordination (Ig TLR, ratio of tension and loose of urethral sphincter), and bladder compliance. Meanwhile, all patients were followed up with ICI-Q-SF, SF-12, and Rantala scores.

Results: Twenty-four patients were included, with the average age of 27 ± 16 years. At the final follow-up, patients' detrusor function, sphincter function, sphincter coordination, and bladder compliance, were all improved dramatically (all P < 0.01). The preoperative SF-12 score, ICQ, and Rantala score were [52.16 ± 5.64, 14.11 ± 5.25, 7.84 ± 4.87], whereas the postoperative mean was [33.53 ± 3.53, 9.05 ± 4.89, 15 ± 3.77] (P < 0.01, respectively). According to objective evaluation, 16.7% of them recovered to normal. According to the subjective evaluation, 25% of the patients returned to normal. Only one patient (4.2%) deteriorated. Limitations include none-randomized controlled design and limited patient samples.

Conclusions: The HSAD can significantly restore the bladder function in patients with long-term urinary incontinence.

Keywords: Bladder function; Homogeneous spinal-shortening axial decompression; Tethered cord syndrome; Urinary incontinence; Urodynamic evaluation.

PubMed Disclaimer

References

    1. Copp AJ, Stanier P, Greene ND (2013) Neural tube defects: recent advances, unsolved questions, and controversies. Lancet Neurol 12(8):799–810. https://doi.org/10.1016/S1474-4422(13)70110-8 - DOI - PubMed - PMC
    1. Khoshnood B, Loane M, de Walle H, Arriola L, Addor MC, Barisic I, Beres J, Bianchi F, Dias C, Draper E, Garne E, Gatt M, Haeusler M, Klungsoyr K, Latos-Bielenska A, Lynch C, McDonnell B, Nelen V, Neville AJ, O’Mahony MT et al (2015) Long term trends in prevalence of neural tube defects in Europe: population based study. BMJ (Clin Res ed) 351:h5949. https://doi.org/10.1136/bmj.h5949 - DOI
    1. Copp AJ, Adzick NS, Chitty LS, Fletcher JM, Holmbeck GN, Shaw GM (2015) Spina bifida. Nat Rev Dis Prim 1:15007. https://doi.org/10.1038/nrdp.2015.7 - DOI - PubMed
    1. Samuels R, McGirt MJ, Attenello FJ, Garcés Ambrossi GL, Singh N, Solakoglu C, Weingart JD, Carson BS, Jallo GI (2009) Incidence of symptomatic retethering after surgical management of pediatric tethered cord syndrome with or without duraplasty. Child’s Nervous Syst ChNS Off J Int Soc Pediatr Neurosurg 25(9):1085–1089. https://doi.org/10.1007/s00381-009-0895-6 - DOI
    1. Sun J, Zhang Y, Wang H, Wang Y, Yang Y, Kong Q, Xu X, Shi J (2018) Clinical outcomes of primary and revision untethering surgery in patients with tethered cord syndrome and Spinal bifida. World Neurosurg 116:e66–e70. https://doi.org/10.1016/j.wneu.2018.03.221 - DOI - PubMed

Publication types

LinkOut - more resources