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Başlık: Urodynamic findings in the tethered spinal cord: The effect of tethered cord division on lower urinary tract functions
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Pediatrik Bölümü.
Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Bölümü.
Kılıç, Nizamettin
Aksoy, Kasım
Doğruyol, Hasan
Balkan, Erkan
Boyacı, Suat
Avşar, İ.
AAI-3656-2021
Anahtar kelimeler: Spinal dysraphism
Tethered spinal cord syndrome
Urodynamics
Surgical release
Bladder function
Dysraphism
Myelomeningocele
Children
Symptoms
Infants
Pediatrics
Surgery
Yayın Tarihi: Nis-2001
Yayıncı: George Thieme Verlag Kg
Atıf: Balkan, E. vd. (2001). "Urodynamic findings in the tethered spinal cord: The effect of tethered cord division on lower urinary tract functions". European Journal of Pediatric Surgery, 11(2), 116-119.
Özet: Purpose: The aim of this study is to evaluate the effect of division of the tethered spinal cord urodynamically in spinal dysraphic cases. Methods: Between 1995-1997 20 cases (11 males, 9 females) aged from 5 months to 13 fears with TSC were Investigated. 13 cases (65%) were classed as belonging to the myelomeningocele group and 5 cases (35%) to the spina bifida occulta group. We used a computerized urodynamic system to evaluate the functions of the lower urinary tracts pre- and postoperatively. The definitive diagnosis of cord tethering was made using magnetic resonance imaging (MRI) in 19 cases (95%) and spinal ultrasound in 1 case (5%). Division of filum terminale and laminectomy were carried out in all cases by the Neurosurgery Department, and 2 cases with retethering were operated on twice. Results: All of these cases were assessed urodynamically in the preoperative and postoperative period. Significant improvements were noted in detrusor functions (35%); electromyography recordings (45%): high leak point pressures (55%) and anal and urinary continence (70%). Conclusion: Lower urinary tract dysfunctions secondary to tethered cord syndrome are very common in spinal dysraphic cases and significant improvements can be achieved with a judiciously timed division of the spinal tethered cord.
URI: https://doi.org/10.1055/s-2001-14899
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-2001-14899
http://hdl.handle.net/11452/22455
ISSN: 0939-7248
Koleksiyonlarda Görünür:Scopus
Web of Science

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